00019900 (SFD)APPLICANT NAME (L, F, MI)
HARP' 1" MAUTER V
0
5467.0 MONTEZUMA
CITY/COMMUNITY/STATEIZIP
LA QUINTA CA 92253-0000
JOB SITE ADDRESS/SPACE
154670 AVE MONTIEZUMA
CITYICOMMUNITYISTATEIZIP
LA QUINTA CA 922530000
BOK
7741A4
PA
PRC
005
C
7
TWN
1
C
FING
000
SE
log
S
Is
TRACT LOT
000000 00051'
-I
MOD
tSB
TRACT NAME
SCVAL LAQ 025 SLK 274-
OWNER NAME (L,F,MI)
VARNUMp WALTER V -
PHONE#
F
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITY/COMMUNITYISTATEIZIP
PHONE# [KDG.INSPEC
TOR
FINAL DATE
ARCIENG FIRM NAME
LICNC 0
ADDRESS
CITYICOMMUNITY/STATEIZIP
PLANA
PLANS EXAMINER
APPROVE DATE
USE OF,PERMIT
DWLG AND ATTk'-GARAGE
BL F" 1 ZON
R_j I O37
SSB I
o0 1006
ls
SSB
10
RSB
a
OFC
D
I
ZONE ORD #
I I I
LOT SZ
1 1
END
1005 1 1
SIDE
0147
APPL/PRMT #DATE
AB
00019900 Ps 109/24/8A�699
TOTAL
FEE
CA
CK
NC
COUNTER B.I.
I COUNTER L.U.T.
APPLICATION FOR STRUCTURAL PERMIT
H 1 9 SS AN A P P L I C A T 1 0 N ANLY
,'You must tee 00 following Departments (if listed) for concurrence BEFORE
a P(eroii,T can be issuOds
------ Description ------------------- ------ --- Dept to Sde
t
FORM 284-208(11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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. E]
43
Final
10A
Fireplace T. 0.
P'N
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
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
APPLICANT NAME (L, F. MI)
VARNUM WALJER V
54670 AVE MUNTVZ1 MA
°i= "'AlfTAZIP CA 922530000
VOWAVE1"f MONUUMA
1p;' W
pCITYICOMMUNITYIS ATEEIZIP
q qty �t ti „ p '
LA Ql3XNTi'A CA 7i�4�530000
BOK 'A
/ 7.4
PAG p
464
PRCQ�y�
0o1.f
ryC
/
-- TWN
PING 0
00
SEp
00
S
0()0000 WT005
V {D
TOTAL .
FEE
MOD
SB
CK
TRACT NAME
.SCVAL. LAQ 025 DL.K 274
QI(VAE§R A'MI)WA1..T C{
PHONEN
CONTRACTOR -FIRM NAME
LICNC p
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONEq
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC 0
1 ADDRESS
A CITYICOMMUNITYISTATEIZIP
' PLAN d
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
'. DWLG AND ATT GARAGE
00 1
RLI
01",
joub jolds
1012h
ZONE ORD #
LOT SZ
a
+ Sf
00015900 X1 106/16;16. 27427
$L /�!S" . C'r-210. Ncr"a92
Zoe
/V� r
00A 22, 6�
31,- 93o 6
TOTAL .
FEE
CA
CK
NC
COUNTER B.I.
COUNTER L.U.T.
'= AIPPLICATXON FOR -STRUCTURAL PLAN REVIEW
T H I S. I S A N A P P L. I C A T x 0 N p N L. Y
You most see the following Departments (if listed) for concurrence BEFORE
a Permit can be is sued i
Description-*---- --------- -...----_-._w_-.,._w. --- Aepp t t u �a�
-HOLD- HE96'N
r...HOL.D- ROAD
FORM 284.208(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 & 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.O.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
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 Grourttring-Wird'
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME