00017526 (HOTL)O —
PEHMIT APPLICATIDN
LICENSED CONTRACTORS DECLARATION:- I hereby affirm that I am licensed under provisions of Chapter 9 (commenc-
pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this
County of Riverside
Department o -Building and Safety
permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203
Riverside. CA 92501 Banning. CA 92220
Ph: 787.6146 Ph: 849.7312
880 N. Slate Street 227 North "D" Street
Hemet, CA 92343 Perris. CA 92370
Ph: 658.4464 Ph: 657.3898
46.209 Oasis St. Rm. 310 160 N. Broadway
Indio. CA 92201 Blythe. CA 92225
Ph: 342.8271 Ph: 9222670
This permit becomes void it work not commenced within 180 days from date a1 issuance. OR. it work his beer suspen(MJ or abandoned for a period of 180 days.
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
O —
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION:- I hereby affirm that I am licensed under provisions of Chapter 9 (commenc-
pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this
Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
PLAN #
tion Laws of California.
O
Dale Applicant
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
NOTICE TO APPLICANT: It, after makingthis Certificate of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be
following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to con-
deemed revoked.
• strucl, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such
,
permit'lo file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter $ (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
empl therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
Of hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend. will
mit subjects the applicant to a civil penally of not more than five hunderd dollars ($500).):
be made in connection with work authorized by this permit. and that no building structure. scaffolding, falsework.
or demolition or dismanlling.Thereof. will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Arl 2. Sec 341.
❑ 1. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
Title 8. C.A.C. ). - 4
structure is not intended or offered tot sale (Sec. 7044, Business and Professions Code: The Contractor's License
❑ As owner -builder. I will not employ anyone to do work which would require a Irom the Division In
Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
permit of -
dustrial Safely. as noted above. unless such person has a permit to do such work Irom the division.
through his own employees. provided that such 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 prov.
❑Division of Industrial Safety Permit No.
ing that he did not build or improve for the purpose of sale.)
01, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor-
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
mance of the work for which this permit is issued (Sec. 3097. Civ. C.).
builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Con-
Lender's Name
Irac(or's License Law.)
❑I S
Lender's Address
am exempt untler ec. . 8.8 P.C. (Attach Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
❑Certified copy is hereby furnished.
❑Certified copy is filed with the County Building Inspection Department or County Department.
APPLICANT NAME (L, F, MI)
LANDMARK, LAND CO
fy�DTeY as�A1��o 7Y($ AVE OBREGON t p by �y llA t't
: WCO{i� ITY TJpT"IZIP CA T C2�530 0 V 0
J.OMDIDRESSISPACE (yBl^.9�'f� ON
^^£'iiTYI(COb1y�lVlfJV 1d�($Tr, WzIP AVEM V G F.J fC� Ai x}922530000
2 i253 0 0 0 0
AA�..OlF3 �WK4�3i�ffVEE lMU45 ift5so o'k.96 10
00 I
r4 it ? SW 104
MAWR , LAND CO
flAWRA"LAND CCI, INC
CLOCK TOWER .PL.
eTVd@pMMUNI Y1STATEIZIP
P [g
TW -345W2888
BLDG. IN
ARCIENG FIRM NAME
ADDRESS
CITYICOMMUN ITYISTATEIZIP
PLAN #
P E,
4
WGfnPU"iU.. UNITS
V O
R Zd N
�'IN
Q[F�Tg4
V.1
ri P—ZON4 OBD.#
Lor
17� SB
PHONE#
US* 44
CA 939230090
DC, 1
DATE
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certily I have read this application and state
that the information given is correcl. 1 agree tocomply with all state laws and county ordinances relating to
building construction, and authorize a represents . of the Countmity of Riverside. Department of Building and Safety
to enter upon the operly lot which I have ap ted for this perfor the purpose of making inspections.
—Signature of Applicant or Agent Date
Print Applicant/Agent Name
APPLIPRMT #PS DATE
000175.2)6 CPS 04/30/82
ESTIMATED PLAN REV PCC
0 OS DS I I CA I CICU INC
TOTAL
FEE
COUNTER L.U.T.
34505
3U ---ter
9.
PERMIT FO ISTRUCTUOAL PLAN REVICLS
TOTAL PCRMSIT COST IS $309.07
CONSTRUCTION ESTIMATE (NOTE: Not to be used as property valuation)
Description FCC: Group Typ c� Ft Rate Valuation
PRIMARY HOTEL 213 R"I V�-t� Sc9330 $31.30 $104229
SECNDRY PATIO 329 M V --N 816 $4,90 $3998
-SCCNDRY AIRCON 900 R-3 r 3250 $21,60
Etta Plan Rov Fee based on 'Total Estimated Valltri of $116677 iso $3�9
FORM 284208(11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs ✓3 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. C
43
Final
10A
Fireplace T. 0.
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal ,
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
-
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A ' Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
�-----.-.-- — - —- — --- _ - - —-- - - — — --
pp .1 p ..
I10.. RVQ, E)BREG0N
CiT`y(� yY/$ p^�p {� �y �y
kT OTW Fd IsOTQ?SIZIP VY9'.. �fis9. "+i - :4 \t l
i.-.' 1 iY
J41ET
AVEl. M( 47.O t� 15"7
rr�� vv a.s_
T{OJJiViiV
;/9�1'LEA�O�i9BREEYS�II,SPPACE
1w YiNi
�J i.1l Y�TT NIP
Fi�eA 9212.1530001
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Rry Ly7 �. ,
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WcT6IK,a; SW 1/4
'�V.YYtJV1:11 {+t
PHONEp ..
WYlfftlPMWMAND Cry,INC
LICNCjp�(�
::19y3y�W CLOCK TOWER til..
q �y�.gy�p�.
'.ku-iYS41�fi:sl; ,STATEIZIP _ CA J'�7�-," 30,0 t),)
BLDGANSPECTOR
;: FINAL DATE
AiR'CIIENG FIRM NAME
LICNC p •,
-ADDRESS
CITYICOMMUNITYISTATEIZIP ,
PCAN'p�'g�gA�1gpFFPL
NSS EXAMINER.
-• .APPROVE DATE- '
R..�',�w
USE On &EB !'64 17t`6 ,6iJ ,, 11L'iVBIW-w�
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1 345
A P, P L it A4 "T. 0 N FpR ,"S't'RWTURAL PL.6iW V1E,W
N A P 0 1,. x G A. `Y Y. 0 N 1. y
You (44mi i;0,0 kPft? �°¢�'d��u��r�s� lA`��:s���i�n:t� Er'�,� � � a��d. for conc�ur`r�en-c a BEFORE
er
< . Pri"xt pan b6 1 oupc�.i
bussr• t ,arM y, , �... e_.p �,; ,.,� De t to See �.....USELA D
284a208 (11;81) INSPECTOR
.z,......�. �....� ...__..-.._..,. _,.�..-.r...yu ,..aWM...���a..4U�-..1+?...^^._ _ .:i;.<.cK-^�x�;:th].4-w ., <:z �a-t,.,F�eta -S+..a.,_f��r-=„�'%�e:.ai Mh +,'+%tt•'r'�.+.!'.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38 %
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T.O. 0
FI
ADDITIONAL INFORMATION
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A . ,Drywall
13 Finish Grade
INSULATION Thick
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents 4
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT APPLICATION f
County
of Riverside'
Department of
Building and' Safety
4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street
227 North -0- Street _ 46.209 Oasis St. Rm. 310 ` 150 N. Broadway
Riverside, CA 92501 Banning. CA 92220 Hemet. CA 92343
Perris, CA 92370 Indio. CA 92201 Blythe. CA 92225
Ph: 787;6146 Ph: 849.7312 Ph: 658.4464
Ph: 657.3898• - Ph: 342.8271 Ph: 9222670
r
This permit becomes void it work not commenced within 180 days from date of issuance. OR, it work hzs bek'suspended
or -abandoned for a period at 180 days.
' ❑
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment-
pleled if The permit is for one hundred ($100) 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' Compensa--
Ing with Section 7000) ol.Division 3 0l the Business and Professions Code, and my license is in lull force and effect.
• tion Laws of California.
i�� LAND CO PHONE N ,
Date Applicant
LI V446
NOTICE TO APPLICANT: Il,'aller making this Certificate at Exemption. you should become subject to the Workers'
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law,for the
Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be
following reason (Sec. 7031.5, Business and Prolessions Code: Any city or county which requires a permit to con-
deemed revoked.
Strutt, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
LICNC p
permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
❑I hereby certify that excavation five (5) or more feet in depth into which person is required to descend, will
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
with n
made in connection with work authorized by this permit, and that no building structure. scaffolding,
,emit
or
or demolition or dismantling Iherebf, will be more Than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2. Sec 341,
. Sec 411.
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
Title 8. C.A.C.).
structure is not, intended or offered lot safe (Sec. 7044, Business and Professions Code: The Contractor's License
❑As owner -builder. I will not employ anyone to do work which would require a permit from the Division of In -
Law does not apply to -an owner of property who builds or improves thereon, and who does such work himself or
dustrial Safety. as noted above. unless such person has a permit to do such work from the division.
through his own employees, provided that such improvements are not intended or offered for sale. Il, however,
P P ""Or ')' U
the budding or improvement is sold within one year of completion. the owner -builder will have the burden of prov-
[)Division of Industrial Safety Permit No.
ing that he did not build or improve for the purpose of sale.)
Of. as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec.
CONSTRUCTIONLENDINGAGENCY: 1 hereby affirm that there is a construction fending agency for the perfor-
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
mance of the work for which this permit is issued (Sec. 3097, Civ. C.). ^
builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con-
Lender's Name
tractor's License Law.)
Lender's Address '
01 am exempt under Sec. BA P.C. (Attach Certificate).
Date Owner
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF -ENTRY: I certify I have read this application and stale
that the information given is correct. I agree to comply with all slate laws and county ordinances relating to
^ WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a
building construction, and authorize a representative of the County of Riverside. Department of Building and Salely
to enter upon the property for which 1 have applied for [his permit lot the purpose of making inspections.
certificate of Workers' Compensation Insurance, or a certified copy thereof. (Sec. 3800. Lab. C.).
❑Certified copy is hereby furnished.
^
❑Certified copy is filed with the County Building Inspection Department or County Department.
Signature of Applicant or Agent Date
APPLICANT NAME (L, F, MI) '
LANDMARK, LAND CO
199900 ' AVE OBRECON
I,TM�f °t{i�Vlif ZIP ��CA{-. 922530000..
J,� g(fUIESSISPACE AVEOBREGON -
11 1' G
�TY[A°Of
17KIP .. - CA 9�2530600
e�3j 1
'A 0
PO°4 5
�
T610
55 ��a E
1 b
S0
TVpryip"VTO 100 0 'LOT
tvj,Q� I
u
SB
T9CT JAhK {
SW i /4
i�� LAND CO PHONE N ,
'EMMMKmELAND CO, INC
LI V446
if'OV CLOCK TOWER PL
G1j1y(C�ALI�yAINISTATEIZIP CA 939230000
G7 9
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC p
ADDRESS
CITYICOMMUNITYISTATEIZIP
.f
PLAN pPLANS
E%AMINER.
APPROVE DATE
Ug OF OTTEEL UNITS IN BLDG 1
Bb 0
R1'N
VFJBO
0lE
UsleO I
Q lEb
I
` ND
.
P P ""Or ')' U
LOT SZ
END
0 g%
Print Applicant/Agent Name
APPLIPRMT N -
00017 26
� O I�
--PS GATE 345-01
XB' 04/30/S2 yV�l I
TOTAL
FEE '
CA
CK
NC
I COUNTER B.I._
I COUNTER L.U.T.
f •
APPLICATION FOR STRUCTURAL PLAN REVIEW
T H I C I 'S A N A P P .L I C A T I O N 0 N L Y
You rust see the following Departments of listed) for concurrence BEFORE
a Permit can be issuedt
Description -_. ,..__-___ _------._--------- _--- Dept to' See --»
HOLD-ROAD?:HEALTH LAND USE
/V& it .4/,vs el ✓v.fi(/
av, ids v�r1 /v, h rJ r, f.,r� ,i
ri/s��M //�b4d�// l�oJ wd(�tJ.4 Cv�oar, �y
FORM 284.208(11.81) APPLICANT
' > PERMIT APPLICATION '
r County of Riverside
Department,21 Building
and Safety F '
' 4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm, 203 880 N. Slate Street
227 North "0" Street _ 46.209 Oasis St. Rm. 310 . 160 N. Broadway -
Riverside, CA 92501 r If Banning, CA 92220 Hemet. CA 92343
Perris, CA 92370 Indio. CA 92201 Blythe. CA 92225 ,
Ph: 787,�I4Ili , Ph:. 849.7312 Ph: 658.4464
v `
Ph: 657-3898 Ph: 342.8271 { Ph: 922-2670
This permit becomes void it work not commenced within 180 days from date of issuance. OR: it work blas beer susPeWed or abandoned for a period of 180 days. - s
9611.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be Com-'
LICENSED CONTRACTORS DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9 (cwmmenc-
pleled it the permit is for one hundred ($100) or less. (certify that in the'perlormance of the work for which this
Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
-
permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
tion Laws of California.
a
Date Applicant ;
- OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
NOTICE TO APPLICANT: 11, after makingthis Certificate of Exemption. you should become subject to the Workers'
Compen'salion provisions of the Labor Code. you must lorthwilIt comply with such provisions or this permit shall be
following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to con-
deemed revoked.
struct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
}+�ypA
LIJ��.i446
permil'to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
ex-
QI hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will,,
empt therefrom and the basis for the alleged exemption. Any violation nderd ioll 7037.5 0)by any applicant for aper-
mil subjects the applicant to a civil penalty of not more Than live hunderd dollars ($500).):
be made in connection with work authorized by this permit. and that no building structure. scaffolding, talsework, ,
LICNC 11
or demolition Or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341.
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
, Title 8, C.A.C. ).
!,
structure is not intended orofferedfor sale (Sec. 7044, Business and Professions Code: The Contractor's License
❑ As owner -builder. I will not employ anyone to do work which would require a permit from the'Division of In -
Law does not apply to an owner of property who builds or improves thereon, and who does such work himsellor
dustrial Safety. as noted above, unless such person has a permit to do such work from the division.
Through his own employees, provided that such improvements are not intended or offered for sale. If, however,
Odi/
the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
❑ Division of Industrial Safety Permit No,
ing that he did not build or improve for the purpose of sale.)
.
❑I, as owner of the property, am exclusivelyY contracting with licensed contractors to construct the project (Sec.
CONSTRUCTIONLENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlor-
. 7044, Business and Professions Code: The Contractor'sLicense Law does not apply to an owner of properly who
mance. of the work'for which this permit is issued (Sec. 3097. Civ. C.).
'
builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con-
Lender's Name
tractor's License Law.)
Lender's Address
Of am exempt under Sec. , B.& P.C. (Attach Certificate).
Date Owner
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify (have read this application and stale
-
that the information given is correct. I agree to comply with all slate laws and county ordinances relating to
- WORKERS' COMPENSATION DECLARATION: I hereby affirm That I have a certificate of consent to self insure, ora
building construction, and authorize a representative of the County of Riverside. Department of Building and Safely
tenter upon !he property for which I have applied for this permit for the purpose of making inspections.
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec.. 3800. Lab. C.).
M
X
"QCerlilied copy is hereby furnished. -
'
QCerlilie0 copy is filed with the County Building Inspection Department or County Department
Signature of Applicant or Agent Date-
Print Applicant/Agent Name
L..W1tLT0`kV-M O LAND CO'
0 AVE 073RE CON
�4�T�9/��y7
yy �9 r�iy -try *;. �y
4,.90101,V I.6�TMIP CSA . 2G,5,30V00
a• 1Ek)10 RESSISPACE AVE OBREGUN -
a
O rffOMNb1NIQW9rr9FIP - CA 92211,530000
M'C3
O1 UL�.l�d30
W
113945
0
70105st
9611.
56
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V/
IdOD 4
A
SB
ACTf4
�
W, 1/4
�g LANA/ CO
PHONE#
�gi..�,F�}Yp1@tJVfr-i�P�Vp�'�1.'p{
e}'`Q�
S.O.F°'f�YV7U9IPM KAML,AND CU, . NC
}+�ypA
LIJ��.i446
IVW CLOCK TOWER PL
QWTTMTTYISTATEIZIP CA CJ'�(?2 Y0000
W- �1 7 CA V
P}iC�J�-3145-2888,
BLDG. INSPECTOR
FFIIrNAALBDrATTE�!/
ARCIENG FIRM NAME -
LICNC 11
ADDRESS
CITYICOMMUNITYISTATEIZIP
PLAN d
PLANS EXAMINER
APPROVE DATE
«SEOE UTEL., UNITS xi{'�I►!
1
DDOi'�V
RAN
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�B7L„Y)Gg�)1„R�g�
VfV
0S,6N.
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p,1,
rND
1'.1 P __ V591 IM
LOT SZ
END
h t1S1DB
I PL V iT,/ wl2 W A 10.4/3 (07158 Gw 3 1 5 o
TOTAL
FEE
COUNTER L.U.T.
APPLICATION FOR 'STRUCTURAL PLAN REVIEW345011
`T H i S I S A N A P P L.. I C A 'T 1 Q N O N L Y
You Must see the foliowin g-DeparTments (if Listed) for concurrenc I6 BEFORE
a Permit can be iseved.
Descr• i tion ,..._� �.� ..~”. »,..:....�.�..�----1�.�..��.-....,,...,�..�,.��.....M.�.:gee • w._ �w
HOLD -ROAD? H ALTH L,.A9n "USF .
Mc,1!�
/U� r lig, �,9 u'v.•l��
..�I/S /�M �b�' ha/ a Jlrr [i .• � �'a�oar !'i,l r/ 4 -
FORM 284208 (11ASSESSOR81) .
.!
CA
CK
NC
I COUNTER B.I.
TOTAL
FEE
COUNTER L.U.T.
APPLICATION FOR 'STRUCTURAL PLAN REVIEW345011
`T H i S I S A N A P P L.. I C A 'T 1 Q N O N L Y
You Must see the foliowin g-DeparTments (if Listed) for concurrenc I6 BEFORE
a Permit can be iseved.
Descr• i tion ,..._� �.� ..~”. »,..:....�.�..�----1�.�..��.-....,,...,�..�,.��.....M.�.:gee • w._ �w
HOLD -ROAD? H ALTH L,.A9n "USF .
Mc,1!�
/U� r lig, �,9 u'v.•l��
..�I/S /�M �b�' ha/ a Jlrr [i .• � �'a�oar !'i,l r/ 4 -
FORM 284208 (11ASSESSOR81) .
.!
LPI^If[IfJI'9MI'��R', LAND CO
MUD AVE 0BREG,9N
LIWOtylpul�J4TY,/�TpT IP CA 922530000
j�O�jB�$),Et�_DdREESPSSISIPAACfE
Oq.�,pg EGO#
AVE1� L�CAk�922530000
CW014�'��'ITRYWIP
M
1b a
y'R
G7
W+
b ..1 S
LN�'A E
V F7
bt
T4A _To M fi o LOT
$12.70
�Q(j
i W A
SR
VACTf�i�,SW 1/4
OW[JE(I,,FJ�.N'
PHONE #
/4�AN!p��+/+�,f'ky ,ir
�..Pt1YliI�T9e1�M�I LAND CO,INC
�y /�
LIS3#446
Ms CLOCK TOW PL
ETA t� /STATEIZIP{� CA 939230000
SNW-345`!()88 I P
IF Lj✓
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITYICOM M UNITVISTATEIZI P
PLAN N
PLANS EXAMINER
APPROVE DATE
8E0f01kL UNITS IN BLDG 1
W 6 1
tR f-
0 Y%9
0 TID IM
COUNTER L.U.T.
0%
I 1 -54
IP P_Z,Q(�E �OyRpyN
LOT SZ
END
„SID
UU T:1526 PS 05/0:�°�T 82
CONSTRUCTION FEE
25696
*Af/4. uu
PLUMBING FEE
$9.00
ELECTRICAL FEE
$44.6:
MECHANICAL FEE
lt67-.00
REFUND CLAN REV FEE
$1.62
SMI FEE
$8.09
MICROFILM FEE
$12.70
A
TOTAL
FEE
$701 .00
CA
X�NC
COUNTER 8.1.�
COUNTER L.U.T.
1 256
l STRUCTURAL t BUILDING 1 P E R .M I 'T
TOTAL. PERMIT COST IS $701.00
CONSTRUCTION ESTIMATE (NOTEa Not to be used as property valuation)
Detacri.pti.on FCC Group Tyg* S Ft Masts Valuation
PRIMARY M T_ L pR�--1 U�N 3:30 $31.30 $104229
N"BaY A R"C8N F�--3 R�N 3 �4 $4.90 $7326
Construction Fre based an Tot+ial. Actual Valuation of $115553 ist $473.00
ME IC L. FE%,UTAT ON i' raait F" I if applicabl t
"M antra t�8 Eua �oa��er s 8� Haa�:9� 10c: t 00 t stilt
COMPRESSOR -0-3 HP t O6 >3-15:00 >15-3Q t 00 >30-58:00 >50i00 FEE: $24.00
H,EATING SYSTEM-ol-100 001 6TUt06 100,001 or More RTUtOO FEEL $24.pp00
EL `T xC FKE P'L! A►T NS s P rai.t Fee { i li abl 1 i t�! . 6�
8 i» E t Q . t. HO L ! , q 1 ! p er sq. F1,
PL.UMBINC FEE C174P'UTA'i� Ns s Permit Few (if applicable) FEEL $4.00
'FIXTURES–Bar Sink: 2 Drinkin
ki.
Fntnt 0 Fir Braint 0
Kitchen SitLauniry '= yt q ' #t1t0 trtrClsett
Lauatoryt wor: u t & or,
FEE t q . 00
SEWS-4–building: 1 Industrial Waste Pretreat InTercpt ; 0 FEE: $5.50
* of Water Heat*rst 1 # of Drains an Raoft AQ FEEL $2,50
AS P DING SYS' EM– 1 . t S OUTIeItst l b or Mar* Doti ts: 0 F t � .50
nista l atl an o Water- i ipinp and/or t�ata►r� TreAtMent quip t l F t $ 50
•ASMI FEE $8,09
MICROFILM FLEE $12.90
REFUND PLAN REV FEE « $1.62
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
M^V,?--?j33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
°
35
36
Furnace Comport.
Inlets 8 Outlets
3 Steel
4
Grout Blocks
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
=�
39
Appl. Clearance
7
8
Framing
Vents
-7 ; g
Fire Damper
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace
P. L.
43
Final 4a�fi
IDA
Fireplace
T. 0.
FI ADDITIONAL I ORMATION
O� '—JA ✓�
y -1 2 iJ"�
.� QJy` `,64 Sut ✓
\+fC Q�.�✓'L
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall ✓��'
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts) /
12B Ceiling (Batts) �/
12C Ceiling (Blown)
14 1 Final
PLUMBING A PR VAL
15 Ground Plumb
16 Water Piping •�
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater 80—j
22 Water Softener
23 Water Service
24 Gas Test
25
Final
O
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
r
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance i
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures /
31 Service
32 Final
STREET NAME
P LiLA7T I1tF�Ml,. LPI!` k ;C.� f
�1�1F��,"ON
fjlkdl�f!{ }AVE
p �}. �y g �y
x•�fYCO (iQ.{�'d.OYIIZIP .CA' Yi�...A�.�:JJ U'QVU.
RESSISP.A�C'EWE - „.•
EC30N
M n
r ErACO IUR €IP W 9 9 w y
.
H_.
U iJTUi4J U �I LOT .
MOQ Q
' Se
ACT�NA
bWi'9fY I�. ILII.
PNONE N
>T :g KNWdAV.WmLAkjD. CU ilwt
446
QEF,$ ct1 p�10 TAWER P
. :..»
04'.
WT OSA ty�U TYSTATE/ZIP
I,Y 1
`q 23 0
QAq wp.�
A JJ
BLDG. INSPECTOR
- FINAL,DATE .
w.
I -,
ARC/ ENG FIRM.NAME _ a _ •
-„r
LICNC M
�- ;ADDRESS `•
w CITVICOMMUNITVISTATEIZIP
' PLAN q . ' 'PLANS
EXAMINER
APPROVE DATE.,
I SSEO f I � UH d.�.. ���Krr�Lit6Y. ,t- ...
�p'
TN.
NFtU
U
Ab
0 Z IL p
KFlo
LOT SZ
'
'
END -
I•D
Ai
0. N L Y
FORM 284208)t181) IRSPEC—OR. r
t 1
... s..,�._... ...�a, . .f...,..c .....,..5,..�a..,... r.._w.A. �...�....., �.... .. ...n.+..x .r 1.. {, .... .....e,.._.a >..-�'.L-. ., ..-,.... '.e�.... ...... _.. :. a,a. ,__.._.��, a't ._..a .. .._.,e,... ._ _ _.�. _...
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0. E]
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding,
30 Fixtures
31 Service
32 Final
STREET NAME