07-2694 (MFD5)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
1 .
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant: _
!J
07-00002694
47795 DUNE PALMS RD
600-020-030- -
DWELLING - 5 OR MORE
REGIONAL COMMERCIAL
8121618
N
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
COACHELLA VALLEY
45701 MONROE ST
FAMILY INDIO, CA 92201
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
HOUSING COALI
1-G
Contractor:
Architect or Engineer: BROWN CONSTRUCTION, INC.
PO BOX 980700
(-01WEST SARAMENTO, CA 95798
(916)373-9300
Lic. No.: 396120
LICENSED CONTRACTOR'S 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 Class: B License No.: 396120
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 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 Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. 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).:
1 _ ) 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 and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, 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 he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property,.am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.I.
Lender's Name:
Lender's Address:
Date: 2/07/08
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.
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 and policy number are:
Carrier AMER INC Policy Number 3424477
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 Section
3700 of the Labor Code, I shall forthwith comply with those provisigtts,,,•_
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, D
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I '
r
.WFUL, APFD•SHALL
UNDRED THOUSAND
S ASPROVIDEDFOR IN it
APPLICANT ACKNOWLEDGE NT - -
IMPORTANT Application is hereby made to the Director of Building and Saf t for a "
pp y g y p�rrnWsub)i36tto the
conditions and restrictions set forth on this application. ,, r"•'r{� 55,, •tea ;,_s
1. Each person upon whose behalf this application is made, each person at whoSer�gd PlintflYls-h on
,�
whose benefit work is performed under or pursuant to any permit issued as a result o9apliCation,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the I ify -
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 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 county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above -mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Application Number . . . . . 07-00002694
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per
Extension
BASE FEE
15.00
81191.00 .0300 ELEC NEW RES - MULTI FAMILY
2435.73
56455.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
----------------------------------------------------------------------------
1129.10
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 5445.00 Plan Check Fee
1361.25
Issue Date . . . . Valuation . . . .
0
Expiration Date . . 8/05/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
574.00 6.0000 EA PLB FIXTURE
3444.00
2.00 15.0000 EA PLB BUILDING SEWER
30.00
20.00 6.0000 EA PLB ROOF DRAIN
120.00
68.00 7.5000 EA PLB WATER HEATER/VENT
510.00
68.00 3.0000 EA PLB WATER INST/ALT/REP
204.00
136.00 .7500 EA PLB GAS PIPE >=5
102.00
68.00 15.0000 EA PLB GAS METER
----------------------------------------------------------------------------
1020.00
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . . .
0
Expiration Date . . 8/05/08
Qty Unit Charge Per
Extension
' BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
144,751SF .[TYPE:J-1/J-2/GARAGE]/V-1HR,
I-FR/RES-1, S-3/68 - DWELLING UNITS
- ALLOWABLE AREA INCREASES: MULTISTORY /
FIRESPRINKLERS / SIDEYARD [3STORIES./
49,140SF MAX] CBC311.2.2.1 - GROUP S-3
WITH GROUP R-1 ABOVE, MIXED USE. THIS
PERMIT DOES NOT INCLUDE SITEWALLS, SITE
LIGHTING, CARPORTS OR TRASH ENCLOSURES.
2001 CBC, CPC, CMC, 2004 CEC, 2005
ENERGY CODE. [BUILDING: 9100/9200 -
TYPE: J-2, 9300/9400 - TYPE: J-1,
PARKING GARAGE]
January 31, 2008 11:11:12 AM.AORTEGA
Application Number . . . . . 07-00002694
------ Structure Information 97,076SF/V-1HR,I-FR/R-1,S-3[J-1/J-2+GAR]-----
Other struct info
. . . CODE EDITION
2001/2004/200S
# BEDROOMS
148.00
FIRE SPRINKLERS
FULLY
FLOOD ZONE
NO
GARAGE SQ FTG
43778.00
PATIO SQ FTG
7105.00
NUMBER OF UNITS
68.00
1ST FLOOR SQUARE FOOTAGE
29954.00
2ND FLOOR SQUARE FOOTAGE
29098.00
----------------------------------------------------------------------------
3RD FLOOR SQUARE FOOTAGE
22139.00
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
17783.50 Plan Check Fee
11559.28
Issue Date . . . .
Valuation
8121618
Expiration Date . .
8/05/08
Qty Unit Charge
Per
Extension
BASE FEE
3539.50
7122.00 2.0000
----------------------------------------------------------------------------
THOU BLDG 1,000,001 - UP
14244.00
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
2318.00 Plan Check Fee
579.50
Issue Date
Valuation
0
Expiration Date
8/05/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
68.00 4.5000
EA MECH VENT INST/ DUCT ALT
306.00
68.00 9.0000
EA MECH B/C <=3HP/100K BTU
612.00
2.00 16.5000
EA MECH B/C >3-15HP/>100K=500KBTU 33.00
70.00 6.5000
EA MECH AH <=10K CFM
455.00
70.00 6.5000
EA MECH VENT FAN
455.00
68.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
442.00
Permit ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . . 3579.83 Plan Check Fee .
Issue Date Valuation
Expiration Date 8/05/08
Qty Unit Charge Per
894.96
0
Extension
C � t
Application Number . . . . . 07-00002694
------------------------------------------------------------------
Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 1155.93
Fee summary Charged
Permit Fee Total 29141.33
Plan Check Total 14394.99
Other Fee Total 209588.06
Grand Total 253124.38
ART IN PUBLIC PLACES-RES 19804.04
DIF COMMUNITY CENTERS-RES 4964.00
DIF CIVIC CENTER - RES 15572.00
ENERGY REVIEW FEE 1155.93
DIF FIRE PROTECTION-RES 2176.00
DIF LIBRARIES - RES 23664.00
DIF PARK MAINT FAC - RES 1428.00
DIF PARKS/REC - RES 59568.00
STRONG MOTION (SMI) - RES 812.16
DIF STREET MAINT FAC-RES 2652.00
DIF TRANSPORTATION - RES 76636.00
Paid Credited Due
.00 .00 29141.33
.00 .00 14394.99
.00 .00 209588.06
.00 .00 253124.38
t
CITY OF LA QUINTA
w S�� BUILDING & SAFETYDEPARTMENT
(760) 777-7012, e
INSPECTION REQ'UEST,;ONE
(760) 777-7153j ra j
d i�a
Owner CO ACHE` 1 1 A VAFAJA Ho UhINU
Contractor RROWN CONSTIRUCTION
Permit Number 07 2694 I
POST ON JOB IN CbNtSPlCzyOUS GLACE
INSPECTOR MUST SIGN ALL APPLIC'ABL� SPACES
JOB ADDRESS 47795 DUNE PALMS
(OVER)
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
Z—2, •,0
OKAY TO WRAP
r O
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
10
ROUGH MECHANICAL
1
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL 3 , t O
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE I�LASTER (ALARMS / BARRIERS)) I
r...dc .�v _ cruel imQpi='TInuS ��.�
MP. USE OF P RMANENT POWER
- Irg
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
4 !i
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
�'`JSTd-� (ill r1N�t,,�ir�1 �/Y►��TJ�
tE Tl L l a err F.
ew ensz w�.
1-0ebr cyLaak.L rn,;�,,s G�7Y o�'z'S 5-t7•-cPZ7
L�
144,751SF [TYPE:J-1/J-2/GARAGE]N-1HR, I-FR/RES-1, S-3/68 -
DWELLING UNITS
- ALLOWABLE AREA INCREASES: MULTISTORY /
FIRESPRINKLERS / SIDEYARD [3STORIES / 49,140SF MAX]
CBC311.2.2.1 - GROUP S-3 WITH GROUP R-1 ABOVE, MIXED
USE. THIS PERMIT DOES NOT INCLUDE SITEWALLS, SITE
LIGHTING, CARPORTS OR TRASH ENCLOSURES.
2001 CBC, CPC, CMC, 2004 CEC, 2005 ENERGY CODE.
[BUILDING: 9100/9200 -
TYPE: J-2, 9300/9400 - TYPE: J-1, PARKING GARAGE]
January 31, 2008 11:11:12 AM AORTEGA
(ate LFmnit�_ a(6 hP-ovr �-az�.o8 ��
4 Cwt .lj,oi�l. �Q 4' �R�A �4cRa.�+►.IS
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BEn G'n 5�0� ® `s`a `. occ s7
6kAS fir^ V"o SA ?•®* .�'.
9/06 Fly 41 Aa L � � � 2,, 08- 5-Z-
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Grdt, cooI - [Z •o`t Vt pkr
q2'PwL, 3 oos L(DS 1 a7�q S7
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qqsq;�
INTEIwAnorvAL �
`7II1t� CODECOUNCIL• {,r
Y
Mark J. Blakely
Spray -Applied Fireproofing Special Inspector
The individual named hereon Is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written requirem ts.
Expiration date: Januar 30, 2009
No. 0840463-86 by cer ate holder.
Not valid unl Sig
ICC certification attests to competen knowledge of codes and standards.
WINAI
INTERNATIONAL
J
CODE COUNCIL`
Mark J. Blakely
Structural Steel & Welding Special Inspector
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written requirements.
Expiration date: January 30 2009 .
No. 0840463-85
Not v id u e signed by der to holder.
ICC certification attests to competen knowledge of codes d standards.
N
CODE COUNCIL
Mark J. Blakely
Prestressed Concrete Special Inspector -Legacy
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
.:,mpletion of the prescribed written requirements.
Expiration date: Januar 30, 2009
No. 0840463-89
Not v lid unl ss igne y certi to holder.
1CC certification attests to competent nowledge of codes d standards.
1-1---. - - - -.. .. -----
�j
Will
WIN
INTERNATIONAL
\�_ J CODECOUNCIr
Mark J. Blakely
Reinforced Concrete Special Inspector -Legacy
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written requiremen
Expiration date: January 30, 2 09
No. 0840463.88
Not valid unless si d b rtificat Ider
ICC certification attests to competent kno% dge of codes and sta dards.
E
INTERNATONAL
CODECOUNCIL•
Mark J. Blakely
Structural Masonry Special Inspector
The individual named hereon is CERTIFIED in the category'
shown, having been so certified pursuant to successful
completion of the prescribed written requiremen
Expiration date: January 30, 2009
No. 0840463-84 %%%A..t:
Not
ICC certification attests to
a .
HAM
I
1
INfEiCNA710NAL
CUDEC'OUNCIL'
miles w vvouuulu
Reinforced Concrete Special Inspector
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written requirements. 41
Expiration date: June 11, 200 �w
No.5077516-49
Notv Id unless signed bybertificate holder.
ICC certification attests to competent knowledge of codes and standards.
EMa A
IaIMIAROIIIJAI
MILES D WOODARD canrcnusac
STRUCTURAL MASONRY SPECIAL INSPECTOR
The individual named hereon Is CERTIFIED in the category shown,
having been so certified pursuant to successful completion of the
Prescribed written examinations,
Expiration date: April 011
No. 5077516-84
)CC certification , t1101ts Not valid unlese signed y certificate holder. to Competent knowledge of cotles and standards
ROOF CONSULTANTS INSTITUTE
1500 Sunday Drive, suite 204 •F l (i 9) 859 1607
Tel. (919) 859-0742
hereby recognizes
Miles Woodard, RRO
as a
Registered Roof Observer (RRO)
*TYpe(s); 1,3
12/31/00
0472
IAEGISTRATION NUMBER
EXPIRATION DATE
"Explanation on back of card
T.0-��NFWAL DEPT
5360 WORKMAN MILL RD
WWITTIO, CA 9060Z
I IMEIINAMNAL
CODECWNCIL'
Miles D Woodard
Prestressed Concrete Special Inspector
The individual named hereon is CERTIFIED in the category
shown, having been so certified pursuant to successful
completion of the prescribed written requirem ts.
Expiration date: June 11, 2 0
No, 5077516-92 i
Not lid unless signed y certificate holder. .a
' ICC certification attests to competent knowledge of codes and standards. r
Miles D Woodard
Building Inspector UBCCO-
94 V
The Individual named hereon Is CERTIFIED In the catego having been so certifled pursuant to successful complet l own,
''of the
Prescribed written requirements.
Expiration date: July 23, 2010 '�•" '
No.5077516.10 ; ,a
Not Valid
ICC certification attests tocompeteentAknowledge of codes and fic older.
ad rds
Daily Inspection Log
Permit -407-2694
Steve Traxel. &
A.J. Ortega Building Inspector II
DUNE PALMS NEIGHBORHOOD
4 7- 79 5 DUNE PALMS, BUIILDING J
Date Inspection
3/6/08
Inspected East FTG for building "J". Elevator pit and shear wall footings not
ready at this point. By ST & AJ
3/17/08
Elevator pits (2) and shear wall footings OK for East wall Building J. West
wall footing OK minus all locations for stem wall footings.
3/24/08
North/East Basement Wall — I" Lift Bond Beam OK
3/27/08
Inspected first 4' high grout lift at 2 elevator pits on east wall and 2 sections
(60 If) of high lift grout north east corner.
Inspected remainder of footings at west side of building, including all colum
footings.
4/2/08
Inspection for sand clarifier at south end of parking garage OK
4/3/08
Bond Beam inspection @ east wall of building for bottom 4 foot height plus
elevator pit I" lift
4/408
colum steel OK for interior colums only.
4/7/08
Bond beam for west wall bottom 4' only
,bit �6
"1 f" ®dRcF'
5/1
1zWCS j*'oiLww4 t,6*ff (Q
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2tjD&Ae(jjft SiA�)
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CAS " eL
512,12W$ 4,n LA�T @ " tiktLS 4 --sroM
it 4s: -e.-ThUft tamer UXW ft1bf.
NAWCW I.TAW:5 ,ov Lou o-cY .
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BUILDING DEPARTMENT
CITY OF LA QUINTA
OFFICE: (760) 777-7012 INSPECTION REQUESTS: (760) 777-7153
TO: jlN Co. DATE: 3' 2-y' g&*
ADDRESS: 4�•'I Jpitge pq� eaft
CORRECTION NOTICE
INSPECTION:
PERMIT NO.:
J
�(
(
STATE OF CALIFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
TEMPORARY PERMIT TO OPERATE AN ELEVATOR
(Sections 7300-7322 of the Labor Code)
Responsible Party:
k
Elevator Number `i'7b S to c�' Z' 9, - !g l ` - — � Q
c� Date of Inspection Void After
Location 4 L `�7 �u(���� �5 �[t . �� & m
Street and Number City or Town
Load Permissible I c`7 o n 7i \A Uipk-yin
*� Pounds Persons Inspector
CW55�Lt`�(Z�JC
Passenger, Frei , etc. Cable'[Hydraulic
STATE OF CALIFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
THIS TEMPORARY PERMIT MUST BE POSTED IN ELEVATOR CAR
' (01/98) 97 37013
ThyssenKrupp Elevator
ACCEPTANCE
Ur
63)
Branch: Los Angeles
Job No.: 041- C
State No.: _,�' Q'Q
Serial Number.
On this day ZQ the undersigned has received the possession and use of O OE
elevator(s), designated as elevator ,7'Z furnished and installed b�,
Thyssen Krupp Elevator Corporation (iKE) in the building known a�r9 Qb i/,t E L)ud/;w�-
and located at
contact between anOKE, dated
is pursuant to a
'1,q Z� li >A 1 /.,4
Recognizing this agreement will be relied upon by TKE in releasing custody and control of the
elevator, the undersigned, who is authorized to do so by his/her firm, hereby accepts the elevator
equipment noted above which has been fully inspected and examined by the undersigned, and
certifies that such equipment is satisfactory and in all respects in accordance with the terms and
conditions of said contract, and that the final contract price will be paid on time without back
charges, withholds or other offset to full payment.
This acceptance does not relieve either party of any remaining obligations or responsibilities to be
performed under said contract.
Free maintenance service and/or defective parts warranty included in said contract providing for a
later effective date for such service and/or warranty is hereby expressly amended so that service
and warranty commence from the date of this acceptance.
On Board Service Tool YES _Z� N0
Battery Lowering YES — NO
HDPE Casing YES _Z NO
Vista Monitoring YES ` NO _
KEYS ISSUED OTY. Company: `;b—,MUA CC1V``ZVi JS-kA,
Lock Outs - H1848
Independent - H2395 Title: ` a -�
Fan & Light - H2395
Fire Service - DH2389 z:p— �2o q Signature:
Car Stop/run--H2M vZl7 �.
Printed name
ThyssenKrupp Elevator
ACCEPTANCE
Branch: Los Angeles
Job No.: 041- C
State No.:
Serial Number: v
On this day Ir-2-021dq the undersigned has received the possession and use of
elevator(s), designated as elevator % furnished and installed by
ThyssenKrupp Elevator Corporation (TKE) in the building known as/. -,A /�G, Idf4
and located aty'/ 9 yS /g of (i,J-,�---+Califomia pursuantto a
contact between and TKE, dated
Recognizing this agreement will be relied upon by TKE in releasing custody and control of the
elevator, the undersigned, who is authorized to do so by his/her firm, hereby accepts the elevator
equipment noted above which has been fully inspected and examined by the undersigned, and
certifies that such equipment is satisfactory and in all respects in accordance with the terms and
conditions of said contract, and that the final contract price will be paid on time without back
charges, withholds or other offset to full payment.
This acceptance does not relieve either party of any remaining obligations or responsibilities to be
performed under said contract.
Free maintenance service and/or defective parts warranty included in said contract providing for a
later effective date for such service and/or warranty is hereby expressly amended so that service
and warranty commence from the date of this acceptance.
On Board Service Tool YES NO
Battery Lowering YES _ NO v
HDPE Casing YES y NO
Vista Monitoring YES NO _
KEYS ISSUED
OTY.
Lock Outs - L206/
Independent -L203
Fan & Light - L203
Fire Service - L204
:,2-
Car Stop/run- L208
�,-
Company:, C'Cm� 2 t(4
Tit
Si
�J
Riverside County Fire Department Fire Protection Planning Section
t
Riverside Office: 2300 Market St., Ste. 150, Riverside, CA 92501 Ph. (951) 955-4777 Fax (951) 955-4886
Murrieta Office: 39493 Los Alamos Rd., Ste A. Murrieta, CA 92563 Ph. (951) 600-6160 Fax (951) 600-6164
Palm Desert Office: 77-933 Las Montanas Rd., # 201 Palm Desert, CA 92211-4131 Ph. (760) 863-8886 (760) 863-7072
Fire Department Clearance/Release
Date: 0
To: L -1. a4 y
Fax:
Tract/Parcel Map #: 0-07 — / 0 y
Permit/Lot #: rL 6Lb 6 # I I
Job Site Address: 'T� ' qrj O(A nQ Pd S
L,o, ,
Final For Recordation
Release For Building Permit(s)
Shell Final Only (No Tenant)
Final For Occupancy
Building Plan Check Fees Paid
Building Plan Check Fees Not Paid
Other Fees
Fees Not Required
If you should have any questions, please contact the appropriate R erside County Fire
Planning office for further assistance.
Aut 'zing Signature For Release
l
Print Name
Form C — Revised 8/27/2009
Riverside County Fire Department Fire Protection Planning Section
t
Riverside Office: 2300 Market St., Ste. 150. Riverside. CA 92501 Ph. (951) 955-4777 Fax (951) 955-4886
Mumetm
a Office: 39493 Los Alamos Rd., Ste A. Mueta, CA 92563 Ph. (951) 600-6160 Fax (951) 600-6164
Palm Desert Office: 77 933 Las Montanas Rd., A 201 Palm Desert, CA 9221 1-4131 Ph. (760) 863-8886 (760) 863-7072
Fire Department Clearance/Release
Date: U
II `To: L d- � t ) 4 S411
Fax: 1
Tract/Parcel Map #: a-0 6100— / 0 y
Permit/Lot #: 6L-b & '# I I
Job Site Address: ' qlj Ou nQ Pd ryes
L.C, ,
Final For Recordation
Release For Building Permit(s)
Shell Final Only (No Tenant)
Final For Occupancy
Building Plan Check Fees Paid
Building Plan Check Fees Not Paid
Other Fees
Fees Not Required
If you should have any questions, please contact the appropriate
Planning office for further assistance.
ide County Fire
AutFiIing Signature For Release
�(l(
`,,(-� 1/V 1 : �� 7J (0—
Print Name
Form C - Revised 8/27/2009
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING Factory
Additional copies of this form are Loss Prevention Publications - Training Resource Center Mutual
System
av uable to insured from: Factory Mutual Engineering and Research, 1151 Boston -Providence Turnpike. P.O. Box 9102. Norwood MA 02062
�EDi JRF._
Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All
defects shall be corrected and system left in service before contractor's personnel finally leave the job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and contractor.
It is understood the owner's representatives signature in no way prejudices any claim against the contractor for faulty material, poor workmanship,
or failure to comply with approving authoritv's rennirementc nr l�pal �r,1;.,�.,�A�
PROPERTY NAME: La Quinta Dune Palms Neighborhood JOB# 07205 DATE: July 21, 2008
PROPERTY ADDRESS: 47795 Dune Palms Road, La Quinta, Ca
ACCEPTED BY APPROVING AUTHORITY'(S) NAMES: Riverside County Fire Dept. Indio/Palm Desert Office
ADDRESS: 77-933 Las Montanas Rd. #210
PLANS
INSTALLATION CONFORMS TO ACCEPTED PLANS IES X NO
EQUIPMENT USED IS APPROVED (IF NO, STATE DEVIATIONS BELOW) YES X NO
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL AND
VALVES
INSTRUCTIONS
THE CARE AND MAINTENANCE OF THIS NEVI' EQUIPMENT? YES X NO
IF NO, EXPLAIN:
HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS BEEN LEFT ON YES X NO
PREMISES?
IF NO, EXPLAIN:
LOCATION OF
SUPPLIES BUILDINGS
SYSTEM
Building J 9100
MAKE
TYCO
MODEL
YEAR OF
MANUFACTURE
ORIFICE SIZE
QUANTITY
TEMPERATURE
RATING
Concealed
LF-H
2008
'/2
172
1600
SPRINKLERS
Pendent
TY-FRB
2008
Ih"
12
2000
PIPE CONFORMS TO NFPA #13 STANDARD I'ES X I NO
PIPE & FITTINGS
FITTINGS CONFORM TO NFPA #13 STANDARD IDS X NO
ALARM
ALARM DEVICE
MAXIMUM TIME TO OPERATE THROUGH TEST PIPE
VALVE OR
TYPE
MAKE
MODEL
MIN.
SEC..
FLOW
WATERFLOW
POTTER
VSR-F
0
60
INDICATOR
SWITCH
DRY VALVE
Q.O.D.
MAKE
MODEL
SERIAL NO.
MAKE
MODEL
SERIAL NO.
DRY PIPE
OPERATING
TEST
TIME TO TRIP
THRU TEST
PIPE
WATER
PRESSURE
AIR
PRESSURE
TRIP POINT
AIR PRESSURE
TIME WATER
REACHED OUT.
ALARM OPER-
ATED PROPERLY
MIN.
SEC.
PSI
PSI
PSI
MIN.
SEC.
MIN'.
SEC.
WITHOUT
Q.O.D.
WITH
Q.O.D.
IF NO, EXPLAINT:
OPERATION
I PNEUMATIC
ELECTRIC
I HYDRAULIC
PIPING SUPERVISED I
YES
NO
DETECTING MEDIA
YES
NO
SUPERVISED?
DELUGE AND
DOES THE VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL?
YES
NO
PREACTION
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING?
YES
NO
VALVES
IF NO, EXPLAIN:
DOES EACH CIRCUIT OPERATE
DOES EACH CIRCUIT
MAXIMUM TIME TO
MAKE MODEL
SUPERVISION LOSS ALARM?
OPERATE VALVE
RELEASE?
OPERATE RELEASE
ITS
NO
YES
NO
MIN.
SEC.
HYDROSTATIC: HYDROSTATIC TESTS SHALL BE MADE AT NOT LESS THAN 200 PSI (13.6 BARS) ABOVE
STATIC PRESSURE IN EXCESS OF 150 PSI (10.3 BARS) FOR TWO HOURS. DIFFERENTIAL DRY -
TEST
PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO PREVENT DAMAGE. ALL ABOVE -GROUND
PIPING LEAKAGE SHALL BE STOPPED.
DESCRIPTION
PNEUMATIC: ESTABLISH 40 PSI (2.7 BARS) AIR PRESSURE AND MEASURE DROP WHICH SHALL NOT
EXCEED 1-1/2 PSI (0.1 BARS) IN PRESSURE TANKS AT NORMAL WATER LEVEL AND AIR PRESSURE
AND MEASURE AIR PRESSURE DROP WHICH SHALL NOT EXCEED 1-1/2 PSI (0A BARS) IN 24 HRS.
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2 HRS.
IF NO, STATE REASON:
DRY PIPING PNEUMATICALLY TESTED?FXI YES NO
EQLIIP14ENT OPERATES PROPERLY? YES RNO
DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TEST
RESIDUAL PRESSURE WITH VALVE IN
TESTS
PIPE.
TEST 200 PSI
TEST PIPE OPEN WIDE 200 PSI
UNDERGROUND
MAINS AND LEAD-IN CONNECTIONS TO SYSTEM RISERS SHALL BE FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING.
VERM
ED BY COPY OF THE FORM # 85B? YES NO OTHER EXPLAIN
FLUSHED
BY INSTALLER OF UNDERGROUND YES NO
SPRINK
IER PIPING?
BLANK TESTING
NUMBE
Z USED
LOCATIONS
NUMBER REMOVED
GASKETS
WELD
D PIPING?
X YES
_
NO
IF YES...
DO Y U CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING YES X NO
PROCEDURES
COMPI Y WITH THE REQUIREMENTS OF AT LEAST AWS D10.9. LEVEL AR-3?
WELDING
DO Y U CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED YES X NO
IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR-3?
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A YES X NO
DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE
RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER
WELDING RESIDUE ARE REMOVED, AND THAT INTERNAL DIAMETERS OF PIPING
ARE NOT PENETRATED?
HYDRAULIC
DATA NAMEPLATE
NAMEPLATE PROVIDED? YES
IF NO, EXPLAIN:
X
NO
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
REMARKS
NAME OF INSTALLING CONTRACTOR: CEN-CAL FIRE SYSTEMS, INC.
TESTS WITNESSED BY
FOR PROPERTY OWNER (Signed) TITLE DATE
SIGNATURES
INSTAL CO 'TRACTO i d) TITLE DATE
0/ , I Av `
ADDITIONAL EXPL kNNT4ON ND S
January 24, 2008
Ms. Amy Yu, Engineering Assistant 11
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92252
RE: Pad Certification — Parcel 4 of Parcel Map No. 33588, SDP 206-857
JN 1786 — CVHC Dune Palms Neighborhood
Dear Amy:
This letter is to verify that the locations and elevations of the lower Underground Parking
Building "J" building pad was field checked by MSA Consulting, Inc., and found to be in
substantial conformance with the approved Precise Grading Plan. The pad is constructed
within one -tenth of the designed pad grade (11 inches below finish surface) as shown on
sheet 16 of the approved plans.
If you have any questions, please contact our office.
Very truly yours,
Charles R. Harris, PLS 4989
Director of Survey and Mapping
CRH:tt
EC: Mike Troth
LAND So��
CHARLES R.
_U HARRIS p
No.4989
N� Exp.12131/09 \Q
\�CF CAL�FC//
34200 BOB HOPE DRIVE ® RANCHO MIRAGE ® CALIFORNIA 0 92270
760-320-9811 ® 760-323-7893 FAx ® www.MSACONSULTINGINC.CONi
Letter of Transmittal
Date: January 24, 2008 Via: Hand Delivery
Job #: 1786
To: Amy Yu Assistant Engineer II
CITY OF LA QUINTA Public Works/Engineering
78-495 Calle Tampico
La Quinta, CA 92253-1504
From: Chuck Hams
Re: Pad Certifications
Project: CVHC Dune Palms Neighborhood
EC: Mike Troth
❑ urgent ❑ For Review ❑ Please Comment ❑ As Requested ❑ Other
QTY. ITEM
1 Original, wetsigned and stamped pad certification letter, Building "J"
• Comments: If you have any questions, or we can be of further assistance, please contact our office. Thank you.
34200 BOB HOPE DRrvE ® RANCHO MIRAGE E CALIFORNIA ® 92270
760-320-9811 ® 760-323-7893 FAX ® www.MSACONSULTINGINC.COM
E
June 26, 2008
Ms. Angelica Zarco
City of La Quinta
78-495 Calle Tampico
La Quinta, CA 92252
RE: Form Certification — CVHC Dune Palms Neighborhood
Parcel 4 of Parcel Map No.33588, Building 9100
JN 1786
Dear Angelica:
This letter is to verify that the locations and elevations of the building forms for Building
9100 of Parcel 4 of Parcel Map No. 33588 were field checked by MSA Consulting, Inc.,
and found to be in substantial conformance with the approved Precise Grading Plan. The
results are as follows:
Lot #
Plan
Field
Difference
kBu-ilding 9100
60.50
60.52
+0.02
If you have any questions, please contact our office.
Very truly yours, �p SAND S�
(� GHA.RLES R.
(j H A R R 1 5 0
Charles R. Harris, PLS 4989 —' No. 4989 33
Director of Survey and Mapping #
CRH:tt T -�Q�
EC: Mike Troth �QF CA\-\FC/J`
'14200 Bon Hon-, DRIVr n RANCHO MIRAGE-- C A iFT) NIA 2 92Z70
I w 760 W W W MSAUONa U1-11NGINC,CO.1
���Letter ®Transmittal
Date: August 15, 2008 Via: Hand Delivery
Job #: 1786
To: Angelica Zarco
CITY OF LA QUINTA Public Works/Engineering
78-495 Calle Tampico
La Quinta, CA 92253-1504
From: Doug Rediin
Re: Form Certification
Project: CVHC Dune Palms Neighborhood
EC: Mike Troth
❑ Urgent ❑ For Review ❑ Please Comment ❑ As Requested ❑ Other
QTY.
ITEM
1
Original, wetsigned and stamped form certification letter, Parcel 4 of Parcel Map No. 33588, Building 9400
„S
• Comments: If you have any questions, or we can be of further assistance, please contact our office. Thank you.
!j
34200 Bo ii llorl Dian, a RANCHO MIRAC—iF 0 CALIFORNHA 0 92270
7(,A- ?A C)t 211 = 7(.11-Z? t_7RQ1 m vvww "-4,1", CnwgiII TfNr,INf- r•nni
IAGRAYNER ENGINEERING STRUCTURAL ENGINEERING
December 12, 2008
City of La Quinta
Building Department
c/o Interactive Design Corp.
199 S. Civic Center Drive
Palm Springs, CA 92262
RE: Dune Palms Neighborhood
47-795 Dune Palms Road
La Quinta, CA 92253
Building Number: 9100
Building Official:
As the Engineer responsible for the Structural Design, I have performed visual structural observations of .
the structural system in compliance with 2001 CBC, Section 1709.
To the best of my knowledge, the construction is in substantial conformance with the Approved Structural
Drawings and is approved to wrap.,
Thank you for your review of this written Statement.
Sincerely,
George H. Grayner, S. E.
Grayner Engineering
o �
c� 0.1809 m
rk 1 P. 30-09
41105 Vintage Circle . Temecula, CA 92591
Telephone (951) 676-2529 . FAX (951) 699-3591
11 OIL & TESTINS. "` SOUTHERN CALIFORNIA SOIL & TESTINGS INC. 5 3 3 0
6280 RIVERDALE STREET, SAN DIEGO, CA 92120 • Phone (619) 280-4321 Fax (619) 280-4717
w 83-740 CITRUS AVENUE, SUITE C4 INDIO, CA 92201 • Phone (760) 775-5983 Fax (760) 775-8362
SCS&T FILE NO.: SZZvp
M
7
°
P.O. NO.;
C'PL
NC
FIX
PAGE ( OF
FIELD INSPECTION REPORT FOR:INFORCED CONCRETE ❑ REINFORCED' MASONRY [IWELDING E]FIREPROOFING
rt,i M fc.<+-
Q. C. CONCRETE ❑ ROOFING / WATERPROOFING ❑ P.T. CONCRETE / STRESS ❑ EPDXY ANCHORS ❑ H.S. BOLTING ❑
PROJECT TITLE:
PHASE;.#:
DSA FILE NO.:
DSA AFP.; NO.:
PROJECT ADDR SSPERMfT
�� a�r^
NO::
-Z toIL4
PLAN FILE NO.:
ARCHITECT:,
D r
ENGINEER:
. C4j nrir
GENERAL CONTRACTOR:
SUB CONTRACTOR:
LOCATION Of WORK INSPECTEDE e / / � r'" "y
a5 C. h �► s s n ? l/�•/�
MATERIAL CLASSIFICATION:
14
DATE
3 -(o -oaf
DESCRIPTION OF WORK INSPECTED: TIME ARRIVED:630v+11"Y1 TIME DEPARTED:3 077;PW.
/'Y/� t Q ter !_ o V-~" r�I
Cc/ eC �,Li"r[ l
ass-,- i .5N et ,Y
C�!✓ ►� G �.D ..94
WIr
IFt
etc_ c� c t &oft /Z. / ;0Z- t,,l 4/7-lv 19• - k..
t,L 1.C'!� PY1 �Y/CL!-f GLLr' _Di�7 �/J�G
�✓ armI e g Vr e /—o or–erA,ca a .1 a4
4.-•-.:� -c a., LJo�- a s 41"
riv►�.✓ C 4-25 '5411, OOEr/ i G I e
PE; REM
?RE\A-
UBC I hereby certify that I have: inspected the above reported work. Unless noted otherwise,
the work inspected Into the best of my knowledge In compliance with the approved plans,
spectficatfons and applicable. sect( of the governing Ibuilding.laws.
Inspector InitialsItuP�
DSA I hereby certify that l h ted the above, reported work In accordance with the
requirements of DSA approved documents. Sampling and testing were conducted In
accordance with the requireof the DSA approved documents. The work Inspected
complies with the DSAA ved documents,
Yes> lop Inspector Initials:
+
; �NO.
.SIGNOPIE REGISTR
-.k�ft2G'LLC yf _ / O
[ ,� (� 2 _ O
RINTENDEMS Si N DATE
I gn
$C58T 205 REV 2D6
Certificate of Occupancy
T,vf 4 4Qumrw
Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 47-795 DUNE PALMS ROAD (BUILDING #9100 - # 9400)
Use classification: GARAGE PLUS 68 DWELLING UNITS (MIXED USE)
Building Permit No.: 07-2694
Occupancy Group: S-3 / R-1 Type of Construction: I-FR / RES-1 Land Use Zone: CR
Owner of Building: COACHELLA VALLEY HOUSING COALI Address: 45-701 MONROE ST 1-G
Building Official
City, ST, ZIP: INDIO, CA 92201
By: STEVE TRAXEL
Date: December 10, 2009
POST IN A CONSPICUOUS PLACE