00019391 (BLDG)APPLICANT NAME (L, F, MI)
ALIVER ,. FRANK
ADDRESS
77003 IR014UOIS
CITY/COM MUNITYISTATEIZIP
PALM DESERT CA 922600000
JOB SITE ADDRESS/SPACE
52780 AVE MONTSUMA
CITYICO M M U N ITY/STATEIZI P '
LA ®UINTA CA 922.530000
BOK
7'73
PAG
3I 1
PRC
004
C
Q
TWN
PING
000
SE
00
S
TRACT LOT
000000 0023
MOD
011
SB
TRACT NAME
SCV LACI 417, BLK- 169
OOWNEIVME-(L,i FRANK
PHONEN
CONTRACTOR -FIRM NAME
LICNC p
ADDRESS
CITYICOM MUN ITYISTATEIZIP
PHONE p
WO-G-.-114SPECTOfiFI
DA
ARCIENG FIRM NAME
LICNC p
ADDRESS
CITYICOMMUN ITYISTATEIZIP
PLAN N
PLANS EXAMINER
APPROVE DATE -
USE OF PERMIT,, -
RE -PAIR EIRE DAMAGE
001BL
K1N
FSB
00SB
0
SS
0 01
0110
SND
ZONEORD#
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END
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APPL/PRMT p PS DATE -
a001a19391 �'B a�i01 X82
CONSTRUCTION FEE:'
/� (1 0
2 2
•89.*
SMI f'1:E
$0,10
T L
TOTAL
•
$Fit .2a
CA
CIS,
NC
COUNTER B.I.
COUNTER L.U.T.
S T R 13 C T - U. R A L_ ( DUILDING D P E R M i T
'TOTAL PERMIT COST IS $91 IL
CONSTRUCTION 1 STIMATE (NOTFt Not to be used as property valuation)
De9cripti.on FCC Group Type SqFt Rate Valuation
PRIMARY MTSC M M 1000 X10.00 $10000
Construction Fee based on Total Actual Valuation of $10000 ist $80.50
SMI FEE 1 $0.70
q .r,
FORM 284-208 (11.81) INSPECTOR '
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHAKXAL•-APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 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,
43
Final
IDA
Fireplace T. 0.
NON
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 1 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 � i
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
-APLLIfC,qg
.WE L, Ftyh-ANK
ADDRESS
_71003 IROQUOIS
CITYICOM MUN ITYISTATEIZI P
AALN DESERT CA 922600000
"011 TE ADDRESSISPACE
11
80 AVE MONTEZUMA
CITY/COMMUNITYISTATEIZIP
-LA QUINTA CA 922530000
BOK
77;31311
PAG
PRC
004
C
4
1 TWN
(000
FING
SE
001
S
TRACT LOT
00 000 1 010
000000
z 3
OD
1 Oil
S,
J.
TRACT NAME
ACV LAO f17), 10LK-1619
.1I5CR ) Nol 1A.F.111FrMIK
F
I .
ONE #
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITY/COM MUN ITYI STATEIZIP
PHONE#
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
ADDRESS
CITY1COMMUNITY/STATEIZIP
PLAN # [PLANS
EXAMINER
APPROVE DATE
USE OF PERMIT
REPAIR FIRE DAMAGE
'BL I
00
RZf N
FSB
I oSjb I
oldBo
Foll,
I I
Tk
7D
ZONE ORD N --
-4
1
LOTSZ
1 1 1
END
1 1
0 oseb
1 Orb 10 6 0 f %581 / 27202
TOTAL
FEE
CA ICK I NC I COUNTER B.I. COUNTER L.U.T.
I
APPLICAI'lON
FOR.
STRUCTURAL
I .272M
PERMI'r
T H I S I S A N
A P,'IP
L. I C A T
1 41 N 0 14 L Y
FORMZB 4.208 - 11.81) INSPECTOR.
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 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.
43
Final
IDA
Fireplace T. 0. C3
P'
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
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A, Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME