SFD (00019068)77548 Avenida Madrugada
00019068
P1P1 .'/1 G.7 IA ly idj°i I
WAES7k0
fWCOWTPfWyp AIZIP CA
922530109 2 30109
J .V3E4gRESS//TS P.ACE MADRUGADA
//CIIT,('I'Col fU I'yf AVEPP 11 `V t -Y 48 P922530000''i
r/V 6 AIZIP C A
G
t1 '#"{ d
S6 0
6'11...8
W
'"
1j'a
S
f7T44747 1!U4®9
071
SB
CA
TRACT NAME
.gp1Vy,I
[J ME tL,F A q s { p, ! ro S
l.4 WER 60T W JLQM IP"q p JOINT ! 'V T.L• 1.63 PHONE q
p is F'L ORATION
COUNTER L.U.T.
9 A E Z SL.NHUWER DR
1.
O1•j(ICOjdj Q •NjTWjA lZIP CA,
ja,, p' fiJ l.! ¢9 P'f - 922530 0 0 0
P,HQN w g q u q; q q
3 w) S
BLDG. INSPECTOR
FINAL DATE
AARCiBIENG FIRM NAME
LICNC M
ADDRESS, -
CITY/COMMUNITYISTATEIZIP
PLAN p -
PLANS EXAMINER
APPROVE DATE
Q .s p3 lbbZ DW G & ATT'
i7 V
R !':: N
FSB
SSGAR
() 1{ ®
$A$tgxE
0 19 U
Sg
V 1i b
Q q
& 3/
• ZONE ORD p
LOT, SZ
END
0 0 OD6
TWIN 0613 JAP U */Z-!WTlr:J2!'25852
TOTAL .
FEE
CA
I CK -
NC
COUNTER B.I.
COUNTER L.U.T.
APPLICATION FOR i9Mi.9t. TUBAL PERMIT
T H X S I S ..'A N A P P L I C A T T 9a N to N L. Y
FORM 28A-208 (N•571 INSPECTOR
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 & 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. 0
FI
ADDITIONAL INFORMATION
i
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
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
ELECTRICAL APPROVALS
P/L
P/1
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
Count of Riverside
Department
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street
• Riverside, CA 92501 Banning. CA 92220 Hemet. CA 92343
Ph: 787-6146 Ph: 849.7312 Ph: 6584464
4' This permit becomes void it work not commenced within 180 days from date of issuance. OR, it work has beer sus
-ILItENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc-
Iny with Section 7000) of Division 3 0l the Business and Professions Code, and my license is in full force and effect.
Dk
6WNER-BUILDER DECLARATION: I hereby affirm that I am exempt from the Contraclor's License Law for the
'i'tollowing reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con.
w, struct, alter, improve, demolish. or repair any structure, prior to its issuance, also requires the applicant for such
j1' permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
ie (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 penally 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 lot sale.II, however,
66:: the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
ting that he did not build or improve for the purpose of sale.)
❑I as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec.
k 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).
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.).
❑Certified copy is hereby furnished.
a
_ ❑Cerlified copy is filed with the County Building Inspection Department or County Department.
of Building and Safety
227 North "0" Street 46.209 Oasis St. Rm. 310 160 N. Broadway
Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225
Ph: 657.3898 Ph: 342.8271 Ph: 922.2670
pended or abandoned for a perioo of 180 days.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
pleted if the permit is for one hundred ($100) or less. I certify (hat in the performance of the work for which this
permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
tion Laws of California.
Date Applicant
NOTICE TO APPLICANT: II, atter making this CeTillcale of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be
deemed revoked.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Of hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend. will
be made in connection with work authorized by this permit. and that no building structure. scaffolding, falsework,
or demolition or dismantling thereof, will be more than Ihirly-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
Title 8, C.A.C.).
0 A owner -builder. I will not employ anyone to do work which would require a permit from the Division of In-
dustrial Safety, as noted above, unless such person has a permit to do such work Tom the division.
❑ Division of Industrial Safety Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlor-
mance of the work for which this permit is issued (Sec. 3097. Civ. C.).
Lender's Name
Lender's Address
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state
That the ip' for lion given is correct. I agree to comply with all slate laws and county ordinances relating to
building qq��, it clion, ani horize presenlalive of the County of Riverside. Department of Building and Safety
to enter dpon ropelfy fo wlt T�have is permit for the purpose of makinginspections.
X J/J I~ r
Signature of Applicant or Agent Date
Print Applicant/Agent Name
ftfPT'V 068 CID 105/200"021
ESTIMATED PLAN REV PEE
MRSr,I
/�$T�j� �+ p �y y
&_" X11 V.L 1Y { ["1121P CA 6�42•.IG.530000
V9B;ft6QRESS/SPACE MADRq4fGADA
AVE1 L ICAt19922530000
t�•tr �T�
EWCOMIZIP
2253a00p
b A
I 9W
ON.,a
�'J
TW
N 06,60
to
S
ITT4496 ILM49
I
160fI
Ise
oYRW�lg41I,JOINT V
OINTV NR
ONE #
1TRACT
/gN4AifM.Q1E
FIBN1yfORATtof
6722
4T%�P(€,��1 EISENHOWER DR
%�/�
.-1'1COb1Mtw)<7Y/$S i€IZIP CA 122530000
iyM-5 ,t}'4—j1315
P,�ION6
i -1 l b7
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC N
ADDRESS
CITYICOM MUN ITYISTATEIZIP
PLAANM
IVTE ^^C_
W ! DWLCyATT OARAGE
Do
t1 Z9N
FSB
n
0 Wild 1
0 U b
I
1144
ZONEORDM
LOT SZ
END
Qon
of Building and Safety
227 North "0" Street 46.209 Oasis St. Rm. 310 160 N. Broadway
Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225
Ph: 657.3898 Ph: 342.8271 Ph: 922.2670
pended or abandoned for a perioo of 180 days.
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 (hat 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: II, atter making this CeTillcale 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 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, falsework,
or demolition or dismantling thereof, will be more than Ihirly-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 Safety, as noted above, unless such person has a permit to do such work Tom the division.
❑ Division of Industrial Safety Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlor-
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 ip' for lion given is correct. I agree to comply with all slate laws and county ordinances relating to
building qq��, it clion, ani horize presenlalive of the County of Riverside. Department of Building and Safety
to enter dpon ropelfy fo wlt T�have is permit for the purpose of makinginspections.
X J/J I~ r
Signature of Applicant or Agent Date
Print Applicant/Agent Name
ftfPT'V 068 CID 105/200"021
ESTIMATED PLAN REV PEE
Z5 818
$177.8vi
/ 1
TOTAL
FEE
CA
ICKi
J�
NC
COON ER B L
COUNTER L.U.T.
PERMIT FOR STRUCTURAL PLAN REVIEW
TOTAL. PERMIT COST IS $197.60
,,CONSTRUCTION ESTIMATE (NOTEt Not to be used as properly valuation)
Descriptiort FCC Croup "type Sq Et Rate Valuation
PRIMARY DWLC 141 R-3 WOOD 1893 $27.60 $52246
OECNDRY PRrGAR 436 M-1 WOOD 05 $9.10 9 4413
:' E%•t Plan Rev Fee based on Total. Estimated Val'tn a� $56659 is: $197.60
FORM 284.208 (11.81) N'SP�CTOR
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 & 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. ❑
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 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
APPLICANT NAME (L, F, MI)
BOX 780 -
ADDRESS
LA QUINTA CA 922.530000
CITYICOMMUNITYISTATE/ZIP
7 548 AVE: MADRUGADA
JOB SITE ADDRESSISPACE
LA UUXN,,Pt CA 922530000
CITY/COMMUNITY/STATEIZIP
631 360 020 3 0000 00
BOK
014
PAG
96
PRC
C TWN
0 9 0"1
RNG
SE
S
TRACT - ^ LOT
MOD
SB
TRACT NAME
LA QUINTA > Jglq Ii pd' ryp t ENTURE
PVNDENOWNER NA ME 'L•1. M6R1'•EE{ P'dT.1.ON
y t t
PHONE# 45~73672
CONTRACTOR -FIRM NAME -
49991 EISENHOWER DR
LICNC #
ADDRL AEBQUINTA CA 922530000
CITYICOM MUN ITYISTATEIZIP
714-564-1315
PHONE#
BLDG, INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC #
ADDRESS
CCIITTYY/COMy MpU NITYISTATEIZZIIP
Pi. l:► AJ{i —DWI GY
A rE M^vq }
WY' X 6X`k Ar
.. PPRO E DATE
USE OF PERMIT ." +'
00 R6`'.. 000'"0500 000 IND
BL
ZON
FSB.'
SSB
.SSB
RSB
OFC
000
ZONEORD#
LOTSZ
END
SIDE
APPUPRMT# PS DATE /
27098 7O^8
l
TOTAL .
FEE '
CA
CK
NC
TUNTERB.I.
I COUNTER L.U.T.
`
APPLICATION FOR STRUCTURAL PLAN REVIEWI. 270M
S, H I s I S A N A P P L I C A T I O N 0 N L Y
you must see thefollowing Departments(if listed) for concurrence BEFORE .
a Permil can be issued:
DescrHOL,D -ROAD, RALTH LATion DeRD USE
P' S
ORM 284.508 (td.B1) _I NSPECfOR
R _au_
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
IDA
Fireplace T.O.
P'
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 WoterSemice
24 Gas Test
25
Final
Tank Pit L. Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
_ P/I
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME