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SFD (00019079)77632 Avenida Madrugada 00019079 Y`II I lYAM4r li i" ADDRESS P .O BOX 'Feil bT 'f W.l9 d. 19 .{TNZIP CA 922 5;30000 JO_B RE ODRESS /SPACE AVE MADRUGADA bvv CITY COMUTYJST TE^/'ZIP CA bra'' i 7 530000 BOK fb3'3 ' 3 3 0 PAG I PRC a C 3 N RNG Duo • IED S TWO 000' LV ou", U b I SB TRACT NAME pINT VEEN ry/ CXRNdb MfA JOINT (HONE H NFIR 6f,F ORATION ' ANDE iG + LIa.3. 172 ADDRESS IR?l ElSaNHOWER DR CITY/COMMUNITYISTATE/ZIP LA QUINTA GA 922:530000 . PVIiO E q G, BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC N ADDRESS CITYICOMMUN ITY/STATE/ZI P PLAN p PLANS EXAMINER APPROVE DATE USE OF PERMIT - CONDO-1DWL G & ATT GARAGE = w it 0 azo FSB 0 d10 .0S#10 013610 ' r ZONE ORD # - LOT SZ END o 4b VP U T10V Y 7 I V bni vb,. I /I/ 27104 1 TOTAL . FEE ' CA CK . NC COUNTER B.I. COUNTER L.U.T. r-. . . . ..► _.. _ . w+zw- + r— +.+, --ewe+ _ . . . _ c - - .. . . n......rr -r r . .- APPILI CATION FOR STRUCTURAL PLAN REVIEW T H 1 a I S AA P P L I. C A T I O N O N 1. Y You must see the following Departments (if listed) for concurrence BEFORE a Permit can be isdued Aesc*r-ip t i on Dv;),t to See ..w,... . HOLD- EALTH 0AL. 'N HOLD ROAD R AID ' r V rfl / + FORM 284-208 (11.81( A, p 1 NSPECTOR 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 't 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA Fireplace T.O. ❑ 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 f 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 90)VEW"CURP BOX 780 ' f l cow. rV i PY/ZIP Y7 922530000 -yVgE32RESS/SPACE AVE MADRUGADA TACOWIT'RAA/ZIP CA 922530000' 0000 d1l60 Kam :9 TWN O lr# O iro S NO O o o lwbs5L d°f, , SB TRACT NAME WyRRrjtfkNMp 1j of N_ TVNq UR . HONE# KNIV:iF�MN3RATUIN LC // yypggrypyR ,CIw/COOWAIZIP CA 922530000BLDG. ♦ 4! INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC p ADDRESS CITY/COM M U N ITYISTATE/ZI P EXAMINER APPROVE DATE 1�POANN i# nPLAANSS y At �! W}I.7OfYhRW-DWL,1Y 4'Y 1 1 /AGE VO .il""O� FSB y�S4¢1AR 0fjll OU{! � OVh � IF D ZONE ORD #~ LOTSZ END 00bDb APPLICA'iION FOO ;QTR r , FORM 284.208 (1.1.81) INSPECTOR ~ NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums & 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. 0 P' 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 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 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 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: 7876146 Ph: 849.7312 Ph: 658.4464 Ph: 6573898 Ph: 3428271 Ph: 9222670 This permil becomes void if work not commenced within 180 days from date of issuance. OR, it work has beer suspended or abandoned for a period at 180 days. 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- pleled it the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this Permit issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa- Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and ellecl. tion Laws of California. uielTU U 0 0 LD1055 Date _ Applicant OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the NOTICE TO APPLICANT: If, alter makingthis Certibcale Of Exemplion, you should become subject to the Workers' Compensation provisions of the Labor Code. you must lorthwilh comply with such provisions or this permit shall be ' following reason (Sec. 7031.5. Business and Professions Cade: Any city or county which requires a permit to con- deemed revoked. struct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such lffR ".. )A'. ",+ permit to life 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 excavation five (5) or more feet inand depth into which a person is required to descend. will empl therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- mil subjects the applicant to a civil penally of not more than five hunderd dollars ($500).): wi be made in connection with work authorized by this permit. and that no building structure, scallolding, falsework, BLDG. INSPECTOR or demolition or dismantling thereof, will be more than thirly-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 from the Division of In-. Law does not apply to an owner of property who builds or improves thereon, and who does such work himsell or permit duslrial Salely. 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. the building improvement is ❑ Division of industrial Safely Permit No. or 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.) R- ' ❑I, as owner of the property, am exclusive) contractingCONSTRUCTION nnrot LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor- 'r1 7044, Business and Professions Code: The Contractor's License Law does apply To anownerof p pro I' 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- 'tractor's Lender's Name License Law.) Lender's Address ❑f am exempt under Sec. . B.8 P.C. (Attach Certificate). r Date Owner CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state 0U f that the iglormation given is correct. I agree to comply with all stale laws and county ordinances relating to ' WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell insure, or I� certificate of Workers' Compensation Insurance, or a certified copy Thereof (Sec. 3800. Lab. C.). building construction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter up o the #rope ly %? whit have applied for this permit for the purpose of making inspections. zp 1� � � '�� _ , ,# ❑Certified copy is hereby furnished. ' r. ❑Certified copy is filed with the County Building Inspection Department or County Department. Sighalure of Applicant or Agent Date h11vIi74.T�V MlrLLiR T DRUS BOX 7Li ce �F11 Y:. O'CY!' 10ZIP A Y24MU 09 t �M4,4' ' Q RESSISPACE Wt. 11ADKIIAIIIIIIII)IIII-1 T:B.'APo I, A;zlP �A W 6i h- 15fJo , TWN 017 lot) S uielTU U 0 0 LD1055 I I tPI I I SB TRACT NAME lffR ".. )A'. ",+ PHONE# fk -FI ,yt LICj4 M. k. M� 6_ .AQ91�� Ir3ENHUWEW a��•�� �p 1.1 O t" 1hZIP a 4 ,*4 U LQ•+ BLDG. INSPECTOR FINAL DATE .ARCIENG FIRM NAME LICNC # ADDRESS CITYICOM MUNITY/STATE/ZI P # P EX ER APP VE TE r_ MPCLAN til Ff T W 6i go R- FSB 0(;Q UVE0 010111F"1) ZONE ORD# LOTSZ END 0U f Print Applicant/Agent Name 'v Putti ITIS' 075+ a 3 Mfg 1 CP8 05/2700><2 J,n n 4 F1P! Kt.V TOTAL 7 FEE CA CPA NC COUNT R BtC COUNTER L.U.T. PERMIT FOR STRUCTURAL. PLAN REVIEW TOTAL, PERMIT COST IS $163.47 CONSTRUCTION ESTIMATE (NOTEt Not to be usod as property valuation) Description FC :roup Typ� Sq Ft Rate Valuation PRIMARY DWLG 101 R-3 WO D 1390 $27.60 $38364 SECNiDRY NRIGAR 436 M-1 WOOD 440 $9.10 $4004 Est Plan Rey Fee based on Total Estimated Val -to of $42368 ist $163.47 I `f FORM 284.208 (1181) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE I:ISPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I 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 10A Fireplace T.O. Noo 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 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