SATT (00019099)77601 Los Arboles Dr
00019099
TRACT NAME
, ER Q A p JOINT VEaTUp
PHONE N
W dI YE FI 4iicF ORATION
LYJ ll 672
247 l§ d ' T9 .NHOWER DR
1
ITXICO A Ufi(T $T A/ZIP CA 922530000
J6, j1n `
P, INN'*-564-1315
q( - 5 1 3 p 5
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC It
ADDRESS
a
CITYICOM M UNITYISTATEIZIP
PLAN #
PLANS EXAMINER
APPROVE DATE
M& UL-DWILID ATT GAFREV)
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END
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(T[ViRTTVG99 JAB Uti/inT9Tf.3
25.868
TOTAL .
FEE
CA
CK
NC 77T7NTER
B.I.
COUNTER`';'
.1 —
1 '
e
APPLICATION FOR .:STRt►CTURAI. PERMIT
THIS 18, AN AP.P'k,ICAT ION 0NL.Y
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 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
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 1 FI .1
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
( ❑ -
y
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
PERMIT APPLICATION
Pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this
1'4 ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull 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.
•, ❑
County of Riverside
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
NOTICE TO APPLICANT: II, alter making this Cerlificate 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.
Department of Building and Safety
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1 permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
4080 Lemon SI. 2nd Floor
135 N. Alessandro Rd. Am. 203
880 N. State Street 227 North ••0" Street
46.209 Oasis St. Rm. 310
160 N. Broadway
Riverside, CA 92501
Banning, CA 92220
Hemel. 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
This permit becomes void fl work not commenced
within 180 days from date of issuance.
OR. it work has beer suspended or abandoned for a period of 180 da s
[PHONE
CONTRACTOR -FIRM NAME
( ❑ -
y
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.
Pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this
1'4 ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull 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.
•, ❑
Date Applicant
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
NOTICE TO APPLICANT: II, alter making this Cerlificate 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.
' Strutt, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for such
RNG
1 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 than no excavation live (5) or more feel in depth into which a person is required to descend. will
1. empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant lot a per-
1% mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).):
made in connection with work authorized by This permit, and that building structure. scaffolding,
Art
or
or demolition or dismantling thereof, will be more than thirty-six (36) feel high. (Chap. 3.2, Grp 2. Art 2. Sec 341.
le 2. . Sec 41.
❑ 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 for 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 himsell 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. If, however.
1 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 ❑l, as owner of the property, am exclusively contracting with licensed contractors 10 construct the project (Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
9 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con.
tractor's License Law.)
01 am exempt under Sec. B.& P.C. (Attach Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cerlificate 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)
ANDEM CORFU
ADDRESS«y
BOX 00
CITYICOM MUNITYISTATEIZI P
LA QUINTA CA 9220530009
1y10OB�yStIIT�E ADDRESS/SPACE �y tl �}M
iY 7601 LOS ARBOLES
C AOIQUINTTEI21P CA 922530000
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tRB.O.K
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TRACT LOT
014496 Q
Q 637
MOD
Q 11
SB
TRACT NAME►
' 1(, L,, `,p
'`'�F MI1` JOINT
LAOWNER QUi A, wf OIN 1 VIGNTUR
[PHONE
CONTRACTOR -FIRM NAME
LICNC M
ANDEN CORPORATION
333672
49991 EISENHOWER DR
CITYICOM MUN ITYISTATEIZIP
LA QUINTA CA 922530000
PHONE#
714 -564--13i s
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC If
ADDRESS
CITYICOMMUN ITYISTATEIZIP
PLAN #
P KA I ER
I AP/Pj OVVE'DATE
USE OF PERMIT
CONDO-DWLG ATT GAR (P-2-8 REV)
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END
SIDE
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CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor-
mance Of the work lot which this permit is issued (Sec. 3097. Civ. C.).
Lender's Name
Lender's Address
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate
that the information given is correct. I agree to comply with all slate laws and county ordinances relating to
building construction, and authorize a representative of the County of Riverside. Department of Building and Safety
to enter upont property for whit I: have applied for this permit lot the purpose of making inspections.
f Signature ofof App icam or Agent Date
Print Applicant/Agent Name
APPLI0 1 p
OOQ190001909999
ESTIMATED
Ps DATE 25834
CD 05/27/Cl2
FLAN REV FEE $163.47
r
/ TOTAL .
FEE
$163.47
CA
CK
X
NC
COU TER
COUNTER L.U.T.
1 f1 258
—
PERMIT FOR STRUCTURAL PLAN REVIEW
TOTAL PERMIT COST IS $163.47
CONSTRUCTION ESTIMATE (NOTEt Not to be used as property val.ustl.on)
Description FCC Group Tvp Q Sy Ft Rate Valuation
PRIMARY DWLC 101 R-3 W0'9D 1390 $29.60 $38364
EECNDRY PRIGAR 4361 WOOD 440 $9,10 $4004
EST Plan Rev Fee based on Tota EsTiMated Val.'tn of $42368 ist $163.47
FORM 284-208(11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport. t
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T.O. E]
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R.
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P/
^
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
Ai��?L.AlAMG��F�: F'
-09! '7130
'ACOMbWNhTG/BTp1yE,ZIP CA 922530000
� 1Yl�J./.I�61/'`0
t1 01 E(yt19_.�01D�lRhJESS(S$,TSPPAkCE LOS
i..,Ld 4:! ►Yfsf
ffL O S A R B O E
f.. X072a2,530000
�(`±J� �y n {� I'
Cf4�0O4iWdJ{8J8 ,i 1'oFi"I,ZIP
CAA
431
13bo
U28
9
TWN
o
0,11 o
wo
S
li 3T4476 fJ0,137
lJ 8 x
SB
TRACT NAME
V!I R 117MAYA p JOINT VENT UR
:PHONE#
%V.�i�F'@. 'ORATION
LISN3367?.
41P 1 EISENHOWER DR
.L. "AcormwA/ZIP CA 922530000
/ 1N41-5 4— b 3 5
�r
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC It
ADDRESS
CITY,COM M UNITYISTATEIZIP
PLAN # ♦
PLANS EXAMINER
APPROVE DATE
A(��ggg(yf'�`Q-��-2B REV)
Wff.WT� 3DWLG be ATT.GAR
{�
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END
o 0 wo
UD'FITI 04? f AS 105/20k 25802
TOTAL .
FEE
CA CK NC COUNTER B.I. COUNTER L.U.T.
APPL.TCATTUN FOR STRUCTURAL FLAN REVIEW1 258
T H X S . I `y A N A P R L.1 C A T I 0 N G N L Y
I
Yuu roue See the following Departments (if listed) for concurrence BEFORE:
a Permit can' be issued i
Descr i t i are ».»». w».»»._.»»».., Y ».. �.»� .» ... .. .....»» _.»» . �, �».w.. Do a t u see .».w.» .
HULD-ROAD r -- H.ALTH »» LAD,
USE
IIFORM 284.208(11.81) INSPECTOR
i
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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.
No
ADDITIONAL INFORMATION
t.
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