SATT (00019037)77518 Avenida Madrugada
00019037
A14'fitTMT(A ry,,47
DTj(SMj l7 1W Vg TiAy
F HICOltS1 18•tit j A/ZIP CA 722 A 0 0 V 0
q 922530000 .f t 21 p n /t
!,T)" IRESSISPACE
ddW Vrff4Q
Y FIVE NADRADA
UG
-92Z530000
l/. T'1CO 1 IZIP CAT2Z5300WV
OPi 2
G
: 8{}
PR&
p
TWN
d2 pq
NG •
S
!}ER
S
T4469 iib
46
1671.1
SB
TRACT NAME
QAERJ J JOINT VNp
UR
PHONE N
AROV9FI lllpORATION
I?Plj I ,-EXSENWOWER AR
c. D°i r IZIP CA 922330000,
144" °J6 AW— a 3 q.
71144
f t `'.6 j b
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
UCNC #
ADDRESS
CITYICOMMUNITYISTATEIZIP
PLAN #
PLANS EXAMINER
APPROVE DATE
CK
U o
AzqN
FSB
0 U1!
0 61 Sf .0
l8 N
.J
1V Jy
' ZONE ORD R
LOT SZ -'
END
o nn S D
-
APPLICATION FOR STRUCTURAL PERMITI 2b8491
TH I S I S. A N . A P P L. I. C A 'T I' O N .0 N L Y
'25849
TOTAL .
FEE
CA
CK
NC
COUNTER B.I.
COUNTER'L.U!T. '
-
APPLICATION FOR STRUCTURAL PERMITI 2b8491
TH I S I S. A N . A P P L. I. C A 'T I' O N .0 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 6 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 6 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
3B
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. C3
43
Final
IDA
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
j
• 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
PSL P)
1
` 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 -NAME (L, F, MI)
ANDEN CORP
ADDRESS
Bv q f,
OX 80
CITYICOMMUNITYISTNT_gTEIZIP t. P'i`,n922530 922530000
q ern p
CA 0
'7 ySI 1D D RESSIS P""AffC77E AVEDRUGADA
4:Vii+ ii 7
CITYICOMMUNITYISTATEIZIP : '
LA QUINTA , CA 922530000
BOK,
631
PAG
:180
PRC 'f
0 ? a
C
z
TWN
_._
RNG
000
SE
00
S
TRACT LOT
014 469 0046
I MODSB
011
TRACT NAME
OWNER (
6AOIA,Nobs,'r vEyUR
HONE ft
FIRM
ANDENr6jE pRATXON
LlwD 7U7f !0'
ADDRESS
49991 EISENHOWER DR
CITYICOMMUNITYISTATEIZIP
LA AUINTA OA 922530000 2250n00p
HpONE'# py p
l 1 4-564-1 31 5.
P714-564-13151
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITY/STATEIZIP
f .
PLAN #
PLANS EXAMINER
APPROVE DATE
A _
USEOF PERMIT qty Q q+y GARAGE
CONDO--DNLG 6. ATTL9ARA4(9Ep(g / F,>
L
B0
ZON
R /--
FSB
. 0Si7 O
1 1,0
01610
q
YND
ZONE ORD M
LOT SZ
END
n 0% t
1 270M
APPLICATION FOR STRUCTURAL, PLAN REVIEW
H I S 1 9 A N. ,A P P 4_ I C A T X p N 0 N L Y
You -most %ee the following Departments (if listed) for concurrence BEFORE
a Permit can be i sued i
w.„aa ....
Description ..._ d . .„._, . r. e ,. : .. .,. ,.. . .r._ Degqt to See
HOLD --ROAD, f{E;d .. TH LAND USE
FORM284-208(11.81) INSgCTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34 Plenums 6 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 i
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T.O. C:]
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 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 Woiei $er,%iice
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
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 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "0" Street 46.209 Oasis SI. Rm. 310 160 N. Broadway
'1 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: 3428271 Ph: 9222670
This permit becomes void if work not commenced within 180 days from date of issuance. OR, it work has beer suspended or abandoned for a period of 180 days.
y Q CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
;.tICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc- pleled if the permit is lot one hundred ($100) or less. I certify that in the performance of the work for which this
ling with Section 7000) of Division 3 of the Business and Professions Cade, 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.
f ,Q
OWNER -BUILDER DECLARATION: 1 hereby affirm [hal 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-
mit 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 properly 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. It. 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 contractor(s) licensed pursuant to the Con-
tractor's License Law.)
- ❑I:am exempt under Sec. , B.8 P.C. (Attach Certificate).
777 Date Owner
.
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.).
P❑Certified copy is hereby furnished.
if QCertified copy is filed with the County Building Inspection Department or County Department.
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:
of hereby cerlily that no excavation five (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 B. C.A.C.).
DAs 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 of 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
CERTIFIGT TE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state
that the it ation given is correct andy with all state lawsand county ordinances relating 10
building c s uclion, an authorize e County of RiversideDepartment of Building and Safety
to enter uyon h grope y for whi this permit for the purpo a of makin nspetlonSX J C , ,,.
Signature of Applicant or Agent Date
Print Applicant/Agent Name
tfa,:11A3 : u .D,T :
ESTIMATED PLAN REV FEE
BUJ R 51 7 (113Ta8y4y
+ 922530000 y n n
.P1CO J i.T i I'd f 9'IIZIP CA 7 225.I+I30 0 V V
9ff06TTDRESSISPACE AW y!ydGpD}
ernCOIit ;ZIP CA 922530000 530000
1
! 0
e°O
+9
TWN
0
fiNo 0
n
S
(PTT4469 I WO
46
1
00f $
SB
TRACT NAME
pWRRtfklRMA
OINT V
JOINT NTUR
PHONE If
ffl 0E"-FIM4p►iy DRATIM4
&M2
47991 EISENHOWER DR
ETACOCt' 'L IrWrAIZIP CA 922530000
IN -14-5 p A „1,1 3 1'A1P
s7 A M!
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC N
ADDRESS
CITYICOMMUNITYISTATEIZI P
PLAN If
P S INERr
AP OVE AT
=IOWLIG A ATT$ g ARAGE
gC PM
V V
f0.,
FSB
0 fib
u S1
0 IUD
IFAD
ZONE ORD p
LOT SZ
END
0 0 W6
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:
of hereby cerlily that no excavation five (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 B. C.A.C.).
DAs 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 of 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
CERTIFIGT TE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state
that the it ation given is correct andy with all state lawsand county ordinances relating 10
building c s uclion, an authorize e County of RiversideDepartment of Building and Safety
to enter uyon h grope y for whi this permit for the purpo a of makin nspetlonSX J C , ,,.
Signature of Applicant or Agent Date
Print Applicant/Agent Name
tfa,:11A3 : u .D,T :
ESTIMATED PLAN REV FEE
25815
Gu
1
TOTAL .
FEE
$197.60
CA
CK/
NC
I COU .I
COUNTER L.U.T.
,
PERMIT FOR STRUCTURAL PLAN REVIEW 1 258
TOTAL PERMIT COST 15 $197.60
CONSTRUCTION ESTIMATE (NOTE; Not to be used as property valuation)
Description FOC Group Tygpe Sig Ft Rate Valuation
PRIMARY DWt.G 101 R-3 WE i)0 1893 $27.ESU $52246
SEGNDRY PRICAR 436 M-1 WOOD 4B i 4$9.10 $4413
Est Plans Rev Fee biased on Total Estimated Val'tn of $5665 isr $197.60
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.
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. C]
43
Final
10A
Fireplace T. 0.
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Wolls (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 ;c P/
V
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