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SATT (00019074)
77588 Avenida Madrugada 00019074 T H I S TIMP'1)07$ 0a/ C $iTtEi 25856 (DDWS DOX .780 w CA 922530000 6TauRESSISPACE AVEMADRUGADA J y922530000 ETACO .fWfjAA/ZIP CA 47 7 • 76T. NR 9 W TWN {d l7 V 47 d o S Oil U1O.t) 5,3 TOTAL . FEE CA TRACT NAME L, q JOINT +} {• 3., +. p. P,.WE`dER 4i7. P1 ,{'9 ,1 VENTUR F ° V'i' : HONEp . q*FIC ORATION e22 LTG :5b7° WFV-51 E ISENHOUER DR e qq lrc,w.OmIdNlTxI,,S, g/ZIP CA 922530000 A BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAMEJl / LICNC p ADDRESS CIT_VICOMMUNITY,STATE,ZIP PLAN# PLANS EXAMINER APPROVE DATE - dUhpb'ffT-DWLG ATT GARAGE 70 R .°", FSB 0175 0l ! .0 • ' , ii `D ZONEORD# LOT SZ END 0 SSI T H I S TIMP'1)07$ 0a/ C $iTtEi 25856 { TOTAL . FEE CA CK NC COUNTER B.I. COUNTER L.U.T. AP'PL10,01UN FOR STRUCTURAL PERMIT { 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. E] 43 Final IDA 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 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 Ing that he did not build or improve for the purpose of sale.) Of. 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.) 01 am exempt under Sec. B.8 P.C. (Attach Certdicate). Dale Owner WORKERS' COMPENSATION DECLARATION: I hereby allirm that I have a certificate at consent to self -insure, or a certificate of Workers' Compensation Insurance. or a cerlilied copy thereat (Sec. 3800. Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) ANDEN CORP CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com YtKMII AYYLIL-AIIUN pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which thi permit issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa in with Section 7000) of Division 3 of the Business and Professions Code. and m license is in full force and effect. 9 Y r County of Riverside Department of Building and Safety Date Applicant 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Pm. 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 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 date of issuance, OR, it work has beer suspended or abandoned for a period of 180 days. mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): Ing that he did not build or improve for the purpose of sale.) Of. 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.) 01 am exempt under Sec. B.8 P.C. (Attach Certdicate). Dale Owner WORKERS' COMPENSATION DECLARATION: I hereby allirm that I have a certificate at consent to self -insure, or a certificate of Workers' Compensation Insurance. or a cerlilied copy thereat (Sec. 3800. Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) ANDEN CORP 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 thi permit issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa in with Section 7000) of Division 3 of the Business and Professions Code. and m license is in full force and effect. 9 Y w tion Laws of California. ❑ Date Applicant C 3 ,for NOTICE TO APPLICAN r: If. after making this Certificate of Exemption. you should become subject to the Workers OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Lawthe Compensation provisions of the Labor Cade. you must forthwith comply with such provisions or this permit shall b following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con- deemed revoked. Strutt, 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- Of hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend. wi empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- be made in connection with work authorized by this permit, and that no building structure, scaffolding. falsework mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): or demolition or dismantling thereof. will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2, Art 2. Sec 341 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the Title 8, C.A.C.). structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License ❑ As owner -builder. I will not employ anyone to do work which would require a permit from the Division of Ir Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or dusirial Safety. as noted above. unless such person has a permit to do such work from the division. through his own employees, provided that such improvements are not intended or offered for sale. If, however. ❑Division of Industrial Safety Permit No. the building or improvement is sold within one year at completion, the owner -builder will have the burden of prov- PLAN M Ing that he did not build or improve for the purpose of sale.) Of. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) 01 am exempt under Sec. B.8 P.C. (Attach Certdicate). Dale Owner WORKERS' COMPENSATION DECLARATION: I hereby allirm that I have a certificate at consent to self -insure, or a certificate of Workers' Compensation Insurance. or a cerlilied copy thereat (Sec. 3800. Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) ANDEN CORP ADDRESS P Q BOX 780 LTHCDr ZIP LHCA /922530000 9$P6,dbRESS/SPCE AVEAVMADRUGADA LWOt MyN Y UZIP CA 922530000 1d LPlAGt fP RC BOK 631 3b0 0'xS C 3 TWN RNG 000 SE 00 S 000000 iO 3 bbl 58 TRACT NAME { Fy r j*A { + p VEN 1! UR VAER lYo0.i4 1 r' vs1'AE y +.PHONE# 1yyNOJ.NT ARN53" lr6 WRATIUN q Ll rl f WV8,091 EISENHOWER DR CITY/LAGDf_U-N AZIP CA 942530000 'PY —564 1 31 5 a BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC p ADDRESS CITYICOM M U N ITYISTATEIZI P PLAN M P E ER APP ;7VE=TE USE OF PERMT CONDOI-DWLG a ATT &RAGE B„F `jj „+Zw N, FSB iii! 01bSSB 1 F1 ZONEjO (RD per✓ LOT SZ END OLDE CONSTRUCTION LENDING AGENCY: I hereby allirm 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 stat that the information given is correct. I agree to comply with all state laws and county ordinances relating building construction, and aujhorize representative of the County of Riverside. Department of Building and Salel to enter uy' a properlqlfoA rwhi ,h Oha e applied lot this permit for the purpose of making insfpeclions Signature of Applicant or Agent Dale Applicant/Agent Name PERMIT FOR STRUCTURAL FLAN REVIEW TOTAL PERMIT COST IS $169.32 CONSTRUCTION ESTIMATE (Nasi Not to be used as property valuation) Description FCC group Type Sq Ft lute Valuation PRIMARY DWLG 101 R-3 WOAA 14BI $27.60 $4007 SECNDRY PRIGAR 436 M-1 WOOD 441 $9,10 $4076 Eat Plan Rev Fee bated on Total. Estimated Val'tn of $44951 isc $169.32 ,FORM 284.208(11-811• INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA Fireplace T.O. ❑ OP•N NO. I ADDITIONAL INFORMATION J 1 SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit LLine REAR OF PROPERTY LINE PSL P) ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME APPLICANT NAME (L, F, MI) ApaLTN. C09p ADDRESS P. V BOX 780 CITY/COMMUNITY/STATE/ZIP LA QUINTA CA 922530000 AVE� �T 9v19)9ESS/SPACE MADRUGAD V9722530000 cLADQUIPfT�TA CA4 BOK b:i2 PAGp� 38 PYR/C 02$ C { TWN l RNG coo SE 00 S TRACT LOT 000000 00t,� MID 022 SB TRACT NAME VwaqUR&HON- ICXRRNAMPA, JO INy .' E# A ��M 'TUMPORAryION L LI��1 7 e3 ADDRESS 49992 EISENHOWER DR CITYICOM M UNITYISTATEIZIP LA QUINTA CA 922530000 E #-564-315 'BLDG. WW -564-1.315' INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # ADDRESS. ` CITYICOMMUN ITYISTATEIZI P PLAN # - PLANS EXAMINER APPROVE DATE USE OF PERMIT i.,C3NDO -IDWLG 4 ATT GARAGE BL'0.0 Rt- FSB A% :ed o 01,0 ' f YW ZONE ORD # , LOT SZ END Sub APPLIPRMT #27102 ti ilA 29074 PS X� DATE 0�51c ��/�c? (/d GJ 7 1 O 2 f ' f / TOTAL . FEE CA Cr NC - COUNTER B.I. - COUNTER L.U.T. 1 271 APPi:IC:ATIt1Nl� FOR STRUCTURAL PLAN REVIEW T H I S -1 a A N W P• P L. I C; A T T 0 N O N L. Y You crust tiae the following Departments.(if listed) for concurrence BEFORE a Peer mil ' can be issued a .:.. �., Description ..� .� ,.� w.....�,..,« ..�_,.._� �.�.. � .._ � ..w �....----.._-- �pr>ap t' t © see � .r HOLD HEALTH HERLTH HOLD ROAD ROAD 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 loA Fireplace T. 0. No ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 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 4 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