SATT (00019097)77631 Los Arboles Dr
00019097
T H 1 8
FORM 284.208 (11.81)- I NSRECTOR
1fRU URE kr W Yr1 ,C`li 103)207822- 82 W W 8 V V
TOTAL .
FEE
CA CK NC COUNTER B.I. CODER L.U.T. r`
APPLICAT-ION FOR STRUCTURAL PERMIT
I S A. N A F P. L x' C A 7 x O' N €l N L Y
DD 3 Y.iQk 780
ITj(ICOjAf•Q flPflAIEIZIP
CA922530000 23VU
PM9%lfRESSISPACE LOS ARBOLES
gg' GG pp'f#r9/ZZIP CA 922530000
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TRACT NAME
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CA ERR
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NMI FUSErNHOW.ER DR
ewcolffl if rRIZIP CA. 922530000
P,{INEaq-564-1315
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BLDG. INSPECTOR
FATE
INALDLICNC
ARCIENG FIRM NAME
N '
ADDRESS
CITY/COMM UNITYISTATEIZIP
PLAN #
PLANS EXAMINER
APPROVE DATE
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T H 1 8
FORM 284.208 (11.81)- I NSRECTOR
1fRU URE kr W Yr1 ,C`li 103)207822- 82 W W 8 V V
TOTAL .
FEE
CA CK NC COUNTER B.I. CODER L.U.T. r`
APPLICAT-ION FOR STRUCTURAL PERMIT
I S A. N A F P. L x' C A 7 x O' N €l N L Y
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. E]
OP'N
NO.
ADDITIONAL INFORMATION
,
Y ^
i
t
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 (Botts)
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 ,
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
L■
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 ( comment
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect
i.m
( OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con-
struct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
- .empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per -
Trill subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).):
❑ 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 Contractor's License
Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
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-
ing that he 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 Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Con-
' • tractor's License Law.)
01 am exempt under Sec. B.& P.C. (Attach Certificate).
Date Owner
v,
WORKERS' COMPENSATION DECLARATION: I hereby allirm 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 tiled with the County Building Inspection Department or County Department
PD WS BOX 788
PERMIT APPLICATION
; yCfA
Y19111 lrDORESSISPACE LOS ARDULES
`77NfNU•N•
E//i OO ►T><ISTrWIP CA 922530000
b°.71
County of Riverside
w2r a
s
71NN
Department of Building and Safety
4080 Lemon St. 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
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: 922.2670
This permit becomes void it work not commenced within 180 days from dale of issuance.
OR. it work has beer suspended or abandoned for a period of 180 days.
ETA°°Cr 'IE ' ;/ZIP CA 922530000
L■
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 ( comment
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect
i.m
( OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con-
struct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
- .empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per -
Trill subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).):
❑ 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 Contractor's License
Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
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-
ing that he 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 Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Con-
' • tractor's License Law.)
01 am exempt under Sec. B.& P.C. (Attach Certificate).
Date Owner
v,
WORKERS' COMPENSATION DECLARATION: I hereby allirm 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 tiled with the County Building Inspection Department or County Department
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
pleted it 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-
tion Laws of California.
Date _ Applicant
NOTICE TO APPLICANT: If, after making this 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
deemed revoked.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
01 hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend. will
be made in connection with work authorized by this permit. and that no building structure, scaffolding. lalsework,
or demolition or dismantling thereof, will be more than Ihirly-six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
Title 8, C.A.C.).
0 A owner -builder, I will not employ anyone to do work which would require a permit from The Division of In-
dustrial Safety, as noted above. unless such person has a permit to do such work from the division.
❑ Division of industrial Salely Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor-
mance of the work for 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 state
that the iilformalion given is correct. I agree to comply with all state laws and county ordinances relating to
building copstfu tion, and authorize alepresentalive of the County of Riverside. Department of Building and Safety
to enter upgn ih ,pr7 erty too-W hichl have applied for this permit for the purpose of all g inspections.
Signature of Applicant or Agent Date
Print Applicant/Agent Name
tF0LTV'Kt097 IC10 05/27IATO2 25831
ESTIMATED FLAN REV FEE 7 08 r52
PD WS BOX 788
LW°MW TWIP 9n22530000
; yCfA
Y19111 lrDORESSISPACE LOS ARDULES
`77NfNU•N•
E//i OO ►T><ISTrWIP CA 922530000
b°.71
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ono
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SB
TRACT NAME
09Ryii A,JOINT
TNT VENTUR
wHONE 8
FpgE"_Fllw0PRATION
Ll131,93672
W?l EISENHOWER DR
ETA°°Cr 'IE ' ;/ZIP CA 922530000
PW@Nfi►M,,,,IK C A,,,, '71
i i Y♦ WC7 ^7 a7 A
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITY/COM MUNITYISTATEIZIP
PLAN# INE$
APBIROVE pA;
7/
Ets !-DWLG & ATT GAGLRAG-. Pi
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F89
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END
0 O WD
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
pleted it 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-
tion Laws of California.
Date _ Applicant
NOTICE TO APPLICANT: If, after making this 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
deemed revoked.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
01 hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend. will
be made in connection with work authorized by this permit. and that no building structure, scaffolding. lalsework,
or demolition or dismantling thereof, will be more than Ihirly-six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
Title 8, C.A.C.).
0 A owner -builder, I will not employ anyone to do work which would require a permit from The Division of In-
dustrial Safety, as noted above. unless such person has a permit to do such work from the division.
❑ Division of industrial Salely Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor-
mance of the work for 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 state
that the iilformalion given is correct. I agree to comply with all state laws and county ordinances relating to
building copstfu tion, and authorize alepresentalive of the County of Riverside. Department of Building and Safety
to enter upgn ih ,pr7 erty too-W hichl have applied for this permit for the purpose of all g inspections.
Signature of Applicant or Agent Date
Print Applicant/Agent Name
tF0LTV'Kt097 IC10 05/27IATO2 25831
ESTIMATED FLAN REV FEE 7 08 r52
r
TOTAL
FEE
$ 1 69 r 32
CA
I CrX
I Nc
COUNTE B
COUNTER'L.U.T.
r
PERMIT FOR STRUCTURAL PLAN REVIEW
TOTAL PERMIT COST IS $169,32
CONSTRUCTION ESTIMATE (NOTEII Not to bo used as property valuation)
Description FCC Group Type Sq Ft Rate Valuation
PRIMARY DWL.G 101 R• 3 W99D 1401 $27.60 $40875
SEPNDRY PRIPAR 43 M-1 WOOD 448 $9,10 $4071
Est Ian 'Rev ee basad on oral Estimated Val' to of $44951 iia t $169.32
FORM 284-208 (11 .81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport. i
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'
ADDITIONAL INFORMATION
t
i
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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
45
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
-
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)
DATE
r..
R
P O BOX 780
CITYICOM MUN ITYISTATEIZIP
LA QUINTA CA 922530000
jOB SITE RESSISPACE
77631LCIS ARBO ES
,i 1"7SVAW4»K '
CITYICOMMUNITYISTATEIZIP
LA QUINTA CA 922530000
BOK
PAG
PRC
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63
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TRACT LOT
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011
I
TRACT NAME
OWNER NAME QUMA, JOINT VENTUR
LA
PHONE#
ANDEN CORPORATIONCONTRACTOR-FIRM NAME
LI ',' 3672
ADDRESS y
,49991 EISENHOWER DR
CITYICOM M UNITYISTATEIZIP
:LA QUINTA CA 922530000
PHONE# .
7'14--564- 1315
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS ,
CITYICOMMUNITYISTATEIZIP ,
PLAN #
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT - -
CONDO--DWLG ATT GARAGE P--1
BLZON
00
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FSB
SSB
000
SSB.
000
RSB•
000
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CA
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NC
I COUNTER B.I.
//ggSIII00DE
90
APPLIPRMT #PS
"4
DATE
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27 fl
TOTAL .
FEE
CA
CK
NC
I COUNTER B.I.
COUNTER L.U.T.
APPLICATION FOR STRUCTURAL PLAN i3FVIEW
T H.1 S 1 s A IN A P P L i c A T S C N 0 N L Y
You rust see the following Departmonts (if listed) for concurrence BEFORE::
o Permit can be iss6edo
Description Dei t to See ------
HOLD HEALTH HKALTH
HOLD ROAD ROAD
I
FORM 284208(11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR '
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
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.
OP'N
NO.
ADDITIONAL INFORMATION
.
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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 Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME