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SATT (00019092)77641 Los Arboles Dr 00019092 CrUTPT09a JAB 105/2 25864 TOTAL . FEE CA CK NC I COUNTER B.I. COUNTER L.U.T. - APP.L (CATION FOR STRLIi::"i'URAL. PERMIT T M I S I S A N A,P P L X C A T I O N O N L. Y j I NSPEC 1 OR" FORM 28E•208 (1181) J i DTJS Box / e0 f.AGG ':1%mIZIP CA 922530000 Jo06$yTE,Q1RESSISPACE 9 Ory AlyBOLES J 1 CCJ1 " 44 b 7 fs h70.7 ' . CAC061 4 II• j (gl St, AIZIP CA 922530000' toss1lV•i . bo1F 9?F31 'WN 0a3U0 6% S i'iibOOa Itfbe3 1 1670 1 SB TRACT,NAME LNAER WILAM"A y JOIN ' PHONE #y : aMk.iT € p ORATION I,0.36.72 VMPI EISE ROWER Aft ewco v]((,N J7. AIZIP CA 922530000 j4-1-2r,a P}.1j0 N6g e - 5,j t, •1 G 5 BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC # ADDRESS CITYICOMMUN ITVISTATEIZI P PLAN # ylylf"€. PLANS EXAMINERAPPROVE DATE f W'U ,-19 4 ATTCgRAvyr IJ O d FSB V 11/ O 63 b ZONE ORD '# LOT SZ END o O W'd CrUTPT09a JAB 105/2 25864 TOTAL . FEE CA CK NC I COUNTER B.I. COUNTER L.U.T. - APP.L (CATION FOR STRLIi::"i'URAL. PERMIT T M I S I S A N A,P P L X C A T I O N O N L. Y j I NSPEC 1 OR" FORM 28E•208 (1181) J I NSPEC 1 OR" FORM 28E•208 (1181) J NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums B 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.O. OP'N NO. ADDITIONAL INFORMATION ( 1I , 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 PERMIT APPLICATION County of Riverside Department of Building and Safety + 4080 Lenton St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North '•D" Street 46.209 Oasis St. Rm. 310 160 N. Broadway Riverside, CA 92501 Banning, CA 92220 Hemet. CA 92343 .f 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 Irom date of issuance. OR, it work has beer suspended or abandoned for a period of 180 days. ,r.❑ ilrr 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 is issued. 1 ing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. permit I shall not employ any person in any manner so as to become subject to the Workers' Compensa- 4 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, 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. struct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such HONE N 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) at Division 3 of the Business and Professions Cade) or that he is ex- I 01 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will empt fherelrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- be in mit subjects the applicant to a civil penalty of not more Than five hunderd dollars ($500).): made connection with work authorized by this permit. and that no building structure, scaffolding, falsework, ❑ I, as owner of the property, or my employees with wages as their sole compensation, wiII do the work, and the or demolition or dismantling thereof. will be more than thirty-six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341, 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 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 a permit of - dustrial Safely, as noted above. unless such person has a permit to do such work from the division. through his own employees, provided [hat such improvements are not intended or offered for sale. If• however. the building improvement ❑ Division of Industrial Safely Permit No. or 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.) FSB ^•❑I, 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 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 .. ❑I am exempt under Sec. . B.& P.C. (Attach Certilicatel. 'WORKERS* COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a P`', 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. APR ►1 1 TiNA M E+(L` 1F 'M,1 POROS IAOX 780 E.i SC°WWWIP CA 522530000 .I9p &4gpRESSISPACE LOS ©S ARBOLES CT3fI.COUyWjY.($7./WIP CA922530000 ,. ll. I SV 0 V R:raI,Q I N (16,59 V a S VI 0000 0133 WoU p 0p U 10 SB I TRACT NAME U0FRVJC1IfY)A, JOINT VENTUR' HONE N P' itlltli{«IY-FIR FJ(S ORATION `'a"aa 3672. #991.11 EISENHOWER DR FIT ICO(ArZIP CA 922!530000 MT P/Wm5Q4-131 Ir wI BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC k ADDRESS CITYICOM M UNITYISTATEIZIP PLAN M P ER AP)ROVE AT L MJ`9TDWLC & ATT ARAGE P(-2 91 to IRZO ! NC FSB 1 0VQ0 I 0J)b 10UU IND ZONE ORD a LOT SZ END 0 a SITO '11 blA,21- CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cerlily I have read this application and state that the iillor dtion given is correct. I agree to comply with all slate laws and county ordinances relating t0 building con r Ilion, and authorize alepresenta[ive of the County of Riverside. Department of Building and Safety to enter u n t e property li hicMl 've applied for this permit for the purpose of making inspectto X I Si nature of Applicant or Agent Date Print Applicant/Agent Name VVILIVIx"T0911-3 CPS 01/27 102 ESTIMATED PLAN REV FEE 25830 *104314". TOTAL FEE $163.47 CA Clti -A NC COU/NT R COUNTER L.U.T. PERMIT FOR STRUCTURAL. FLAN REVIEW TOTAL PERMIT COST I8 $163.47 CONSTRUCTION ESTIMATE (NOTEr Not to be used as property valuation) Description FCC Croup Typ e Sq f=t Rate Valuation PRIMARY DWLG 101 R-3 Wl]UD 1390 $27.60 $38364 SECNDRY PRIGAR 436 M--1 WOOD 440 $9.10 $4004 Est -Plan Rev Fee basad on Total. Estimated Val.'trl of $42368 is: $163.47 FORM 284.208(11.81) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs B Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T. 0. NO ADDITIONAL INFORMATION I SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall, 13 Finish Grade INSULATION Thick R•• Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L.Line REAR OF PROPERTY LINE P/L P/ - ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME APPLICANT NAi:'lwwr ANDEN :l3,oA ADDRESS P 0 BOX 7e0 CITY/COMMUNITY/STATE/ZIP LA QiUIN`T'A CA 922530000 JOB SITE ADDRESS/SPACE j 77641 LOS ARI WI.ES CITY/COMMUNITY/STATE/ZIP ' LA QIUNTA CA 922530000 BOK 631 PAG 3H0 PRC 028 C TWN RNG 000 SE 00 S TRACT LOT 000000 0083 f MOD 010 SB CA - TRACT NAME OWNER NAME (L,F, I LA QUxIdMiA, aYOINT VENTUR HONE # 14 4NR1 egFl6UAA ORATION L12S3672 49991 EISENHOWER DR CITY/COMMUNITY/STATEIZI P LA QUINTA CA 922530000 PHONE # 71$-564--1315 BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # ADDRESS CITY/COMMUN ITVISTATE/ZI P PLAN # PLANS EXAMINER APPROVE DATE USE OF PERMIT CONDO-1>yWLC is ATT GARAGE 'j2 0 0 Ri 0-1 FS8 V =` 0 tao p - O'1 g.0 p a, 1 Y1 , . ZONE ORD# LOTSZV END t O% APPL/PRMT #PS DATE 2 7112 00019092 X8 f TOTAL . FEE CA - CK NC I COUNTER B.1. COUNTER L.U.T. APPLICATION TOR STRUCTURAL PLAN REVIEW 'T' W I :i I S A N A P P L I C A T 1 0 N 0 N L Y You most see the following Departments (if listed) for concurrence BEFORE <a Permit can be issued i Description-------------------------------------------- Dep t To See ,..- --- AOLD MEALTH HEALTH HOLD ROAD ROAD FORM 284.208 (1181) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL 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 10A Fireplace T.O. P' ADDITIONAL INFORMATION y y 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 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 1.8 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 P/L P/i 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