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SFD (00019032)77498 Avenida Madrugada 00019032 Iui V1v M 4I ' l 'Bow 780 i:T `w OVEYMAZIP CA 922530000 ESSISPACE AVE MADR tf ADA JP;PIIEf/1ODRMJFJ A i. Fo7."7 J '7 T4 tZIP CA 922530000' P1 3b o U s 3 TWN V00 0 Ii o S T4496 `OT044 VII Iss Nt{A7M IEg pTRA CET p p y , +{ ( F ,.1 ) JOINT b..-NIV7. 1 17A dOIN1.. VEN URS. HONE. % vi9F' (3IPOR AT I QN L'w" 3k►"y2 ` 99VI EISENHOWER DR C..WOMNWNIIF1HSTY4ZIP CA 922530000 14"1V-Ri! PEIOI•IE111„„ES_ V ,,,, JNAME i d 7 RLDG.INSPECTOR FINAL DATE . AIIRCIIENNG FIRM ,t LICNC 0 AD.. ESS dA N 1. CITYICOM M UNITY ISTATEIZIP ,PLAN'p PLANS EXAMINER APPROVE DATE 1,1' ri #p-DWLG & ATT p e RZON gGAfp AG Ur t/ U {7 47 gggry 01DD ' i `' . ZONE ORD # LFSB LOT SZ END 0 0SI Q n - APPLICATION' FOR STRUCTURAL. PLAN REVIEW 1 27078 1' T H I S, I S A N A P P L. I C A T x© N O N L. Y You must see the following Departments (if listed) for concurrence BEFORE a-Pepnit, can be a sued i Desrr3 tionDe t to See ..».._ F ® . = , A HEALTH ..._..__. .. ._..,..o...... .._. . _—_—___. _ .. __._.._._ LAID USE FORM z8e.Zoe 61.W 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 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. 0 43 Final 10A Fireplace T. 0. OP'N 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 (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,Softenery 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 4 STREET APPLICANT NAME (L, F, MI) .. E . CORP tJ ADDRESS . ROX 7: Q CITY/COMMUNITY/STATEIZI P L.A WINTA CA 922530000 JOB SITE ADDRESSISPACE 77498 AVE. MAIDRUCADA CITY/COMMUNITY/STATEIZIP ' LA QUINTA CA 922330000 BOK PAG PRC C NVN RNG SE S 63 `:3 " 0,28 COUNTER B.I. COUNTER L.U:T. / r,,..f-' ,- 11000 0 TRACT LOT MOD SB 014496 0044 01 I TRACT NAME OWNER NAME (L, F, MI) PHONE p LA QUIN A JOINT VENTUR CONTRACTOR -FIRM NAME LICNC p i'+itDEN CORPORATION 333672 ADDRESS 49991 EISENHOWER DR CITYICOMMUN ITY/STATEIZI P LA QUINTA CA 9225:30000 N BLDG. INSPECTOR FINAL DATE vPHHONpEE p q g q Y 1'Y-564-- 8 3 i 5 ARC/ENG FIRM NAME LICNC If ADDRESS CITY/COM M UNITYISTATE/ZI P PLAN p PLANS EXAMINER APPROVE DATE USE OF PERMIT nn—nml 11 X ATT BL ZON FSB SSB1ZARACP SSB RSB OFC ' 00 Ftp? 000 000 OflO. IN9D. ZONE ORD p LOT SZ ENDp fl ADE APPLIPRMT pP$ DATE i ilflfl fl3 1 05/2s3/ i'* / TOTAL . FEE CA CK NC COUNTER B.I. COUNTER L.U:T. / r,,..f-' ,- ADPL KATION FOR 5Ti 1Ji~'iUitAL PERMIT T N 14 I S A N A P P L I C A T I 0 N 0 N L Y NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs & 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. ❑ 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 (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 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME PERMIT APPLICATION County of Riverside Department of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "0" Street 46209 Oasis SI. 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 it work not commenced within 180 days from date of issuance. OR, it work has beer suspended or abandoned for a period of 180 days. EN LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the i 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 Ppermit 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- mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).): r ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the II. structure is not intended or offered for safe (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves [hereon, and who does such work himself or rlthrough 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.) ❑l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Cade: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) I-01 am exempt under Sec. B.& P.C. (Attach Certificate). 'WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.). -❑Cerlilied copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work lot 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, alter makingthis Certificate of Exemplion, 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 five (5) or more lee[ 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, falsework. or demolition or dismantling thereof, will be more than thirty-six (36) feet 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 Safely. as noted above. unless such person has a permit to do such work from the division. ❑ Division o1 industrial Safety 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 thV 7yt ion given is correct. I agree to comply with all stale laws and county ordinances relating to buildinCOSfru It9(4 an a'G([m.ize ajB sentative of the County of Riverside, Department of Building and Safety to enten I e prpp1 Ior wmeh'L ve,applied for this permit for the purpose of ma g i0specbon5.. X f/ L/.// /Y/1)C[w,• 'JJtS OL fJX Signature of Applicant or Agent Date Print Applicant/Agent Name obf "' 25813 ESTIMATED PLAN REV FEE IDURs78a ETA CO LR MIZIP CA 922530000 u`OBS4[Cg ADDRESSISPACE MADRUGADA YY EE /'Y`/ AVEC rVCA1922530000 eTC`O fTA`ZIP U3113b ID tf»a W TWN Ono S IFT14 496a IWD44 I I DI 1 I Set CA NAApMy1EF pTRRA yC T y o , y y , vy JOINT 71 {INT YEN! WR •t y3pfR W JppW} ya L Iry ri lpA y>ORATION -PHONE# y it v.l`t-F16.r Y"LRi` u 1'Y i J.QN py t L C W x.767' yM1 FY 9pp(i p DR '7Ty71 5pAV Iyl 7 EIgTAgjSfENHOWER y r ►y r { ti rt Twp 922530000 6wf"1CClRi 7-1 I'V 1 FiIZIP CA '72256 000 V O®#--3LA—A315 7T4#--3&4-1315 GINSPECTOR FINAL DATE ARO/ENG FIRM NAME LICNC # ADDRESS ,CITY/COMMUNITYISTATEIZIP PLAN # P S ER XOV/ _E DATE Wf=1-DWLG &,_-ATT A9AGE T;70 Ri ice••N FSB 050 ollV Ion 3.14D , ZONE ORD # LOT SZ END ,t 0 5106 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work lot 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, alter makingthis Certificate of Exemplion, 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 five (5) or more lee[ 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, falsework. or demolition or dismantling thereof, will be more than thirty-six (36) feet 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 Safely. as noted above. unless such person has a permit to do such work from the division. ❑ Division o1 industrial Safety 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 thV 7yt ion given is correct. I agree to comply with all stale laws and county ordinances relating to buildinCOSfru It9(4 an a'G([m.ize ajB sentative of the County of Riverside, Department of Building and Safety to enten I e prpp1 Ior wmeh'L ve,applied for this permit for the purpose of ma g i0specbon5.. X f/ L/.// /Y/1)C[w,• 'JJtS OL fJX Signature of Applicant or Agent Date Print Applicant/Agent Name obf "' 25813 ESTIMATED PLAN REV FEE 1 TOTAL , FEE ' 4197 r 6)0 CA CKJ NC COUNTER L.U.T. , PERMIT FOR STRUCTURAL PLAN REVIEW .1 258121 TOTAL PERMIT COST 9 $197.60 CONSTRUCTION ESTIMATE (NOTE: Mut to be used as property valuation) Description FCC Group 7vp e q Ft Rate Valua tlun PRIMARY DWLU 101 R-3Wo D 1293 $27.60 $ 2246 SEC:NDRY PRIGAR 436 MW1 WOOD 4435 $9,10 $4413 Est Plan Rev Fee based on ictal Estimated Valltn of $56659 iss $197.60 FORM 284208(1181) !N5PEGTOR 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. ❑ 43 Final IDA Fireplace T.O. OP'N NO. ADDITIONAL INFORMATION r 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