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BLDG (00008068)iii4 68, 1 4i I it 2/ --It U 13 U 7 3 65 L �ya� +�y �y}� �C17yICQpatlQ�l j, (�j E21P CA 10,221,530000 10,221,5 30 0 0 0 �.7 �T)a1IsDRESS//SPACE :A lt.: fMEl9110'OZA GG�3717sM777�6t'f�i''iE/ZIP »f�/C TWN ..�' 3 f APP LXCA 1'ION rft STRUCTURAL PERMIt TOTAL FEE sR VM"114 SV Q1yN641 NAME (L• F. MI) «p, HO" 1Vw{6 {.�1�! jw .VCj,6 r lf.,"�y`�QQSA.��QQI�j7y 1�X3y�704 p�ryrypp {�{9��q y�yM�q �. WC llrl{d W 1 W/ZIP Wf4 9 Ei./a:k��3013 40 0 ' N4' 1564-340 0 1 121.)2, ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE p LICNC 4 F OFC i'/PZOUM4 LOT SZ- 0tVV .arz, iii4 68, 1 4i I it 2/ --It U 13 U 7 3 f APP LXCA 1'ION rft STRUCTURAL PERMIt TOTAL FEE U 8073 APPLICATION FOR 6TRur.TVkAL PIOM.,T- `1 s , 208 (2/81) 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. 0. °o ADDITIONAL INFORMATION ---- --- ....._ --- - -- --- -- SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick "R "Value 7A Walls (Batts) 12B Ceiling (Batts) — 12C Ceiling (Blown) 14 Final -- -- -- . ---FLUAh:DING A-PPROVAL;-------------------- 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/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures - 31 Service 32 Final i STREET NAME APPLICANT NAME (L. F, M1) y�}��y�y 4TUS AVIS KKDQZA 1A/C` TwflUIP CA 122530400 b%jrRESS/SlPiACE AVE MEENDOZA C/C0dTftWfAE/ZIP CIA 922530000 A, 3 0:6 d"M! moi+ *11Z70 TWN 6lo to S ififtaa 0 1 19183 a } # SEI T MME0,14 L NAME (L. F. MI) VERNON (`[V �IACy�J�ME 1DD 3' BOX 704 AI -3 RD 1528 W'544-34551 544--$3455 $334 UC.ND*Y AIRC 00 1 R-3 R ARC/ENG FIRM. NAME ADDRESS'f� CITY/COMMUNITY/STATE/ZIP PHONE N of $45294 LICNC N $265.00 ft-WITFOR >r U LIEX it I I V'ENT'a-Farts t O0 1Eva►p Coolsr t On Hoad t 02 of 19413 40 d ro )30-50148 )30 t 00 f�t`SroEp $9.00 f fk ZOI i WA. or Mor FJ' utg0 LOT SZ •g. �o +� o er t R T 4EN��yp„ 10two M W o Wf �'fii► APPL/PRMT NPS DATE CONSTRUCTION "SRUCTIONFEC �' EC PLUMBING FEE 057.00 ELECTRICAL FEE" � •a'�6.8i�` MECHANICAL. FEE 00 ADD`L PLAN REV FEE *11Z70 TOTAL PERMIT COST IS- k $314.87 SmI FEE is3.1 CONSTRUCTION ESTIMATE (NOTEEt Not to be used 0 a } Sq FT Rate Valuation . 440 0-3 V% 1 20 $27.60 $41952 AI -3 RD 1528 4 00 $334 UC.ND*Y AIRC 00 1 R-3 R STRUCTURAL ( BUILDING PERM 3 Y, k.' , � > . a TFEEL . *ww 9 INSPECTOR'S COPY J ! STRUC:TURA.L, ( BUILDING ) PERMIT TOTAL PERMIT COST IS- k $314.87 CONSTRUCTION ESTIMATE (NOTEEt Not to be used as property valuation) Descriplion FCC Group TFpa PERIMARY POLO Sq FT Rate Valuation . 440 0-3 V% 1 20 $27.60 $41952 AI -3 RD 1528 4 00 $334 UC.ND*Y AIRC 00 1 R-3 R 0 $2. 0 44 Constrvctiom Few based on Total Actual Valuation of $45294 ist $265.00 MECHANICAL FIE COMPUTATIONS s i of Piormitst 1 at $3.00 Each F'EL t $3.00 V'ENT'a-Farts t O0 1Eva►p Coolsr t On Hoad t 02 Sitheer t a "isc t 0o FEES $6.00 cotwItESSORM09--3 W 162 )3-15100 )13-36100 )30-50148 )30 t 00 FEPE,t $9.00 �.S; T6M 1-' j Q STto 140 001 E L R cc Pu s lteerMi or Mor FJ' utg0 FEEL •g. �o +� o er t R T # at 4 , 0 Each PEKt 01. t$tt is t Q Artp� fVct3 t �irtrc i 0► i! FEE of A /Volt t 0 F'EE t $11.00 t 1 2R $ f t , Residence 3t '0075 PL Pot SQ. F't . FXE r 019.00 EP COMP T AT Saes* 0 of P rrti is t E Sinks Drinkin 1 a *4.44lach FEE t $4.00 or ntnt Wataet� softneer I )Dr r ains 0 t Washer (Aato/D sh) t 1 arbaq Disp t 2 Kitch4m E3ink i 2 Laundr Trays t 6 Urinol t a Wit, ;180 et t 2 E.av*torp t Eshatlterr t Tub t 2 Didaet t 0 Ether pslt# "Part t0 1.M pVt "Wag* h*t*r0l S Water 2 t 0 Pitle F'EEt f Et -E1 * 7. '0 $1'0 0. 4 of 4 of rains on Roeaft 00 F 5. GAS PIPING SYSTEM— 1 to 5 Oolletst2 S or Mars Outleetes$ 0 FEEL ♦5.44 e p(laftiort of Water Piping and/or Water L.AN REV FEE Treatment Equipt2 F'EEt :1.00 . 00 41 .70 ADDIL PLAN REV FEE FORM 284200 (2/81) �. ,r NO. OPERATION DATE INSPECTOR i' Nn OPERATION DATE INSPI!CTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back / ' 2 33 Ventilation System 2 Ftgs & Frms %%. cam` 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 L 6 Roof Deck 2 — ►Z ` �) 1J 39 Appl. Clearance p 7 Framing 40 Fire Domper I 8 Vents 41 Smoke Detection Device Z� 9 G•ua3e Fire Wall 42 Commercial Hood 10 Fireplace P.L. 43 Final J L 10A Fireplace T.O. °o ADDITIONAL INFORMATION 4 n ' Tye-e,o F T 1 111 �h ��n c +� /V /%7 V /I l.J�'— '-�- ff o°� �'�rs�.✓q�idr� �C-g� / J (T/1 Q l /`� �� �/� ��•��/ ` �1 6 _ _ 2 /` 1�/16,,P7 R,,OPT C. C c t7 -,C CO F �� Z .� ! 2 c SEWAa SYSTEM SIZE & LOCATION 11 Exterior Lath��/ 12 Interpol Loth— --- 12A DrywallC�� 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) � -��2-- 128 Ceiling (Batts) 12C Ceiling (Blown) 14 Final 2 - PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater Z -yt/oC 22 Water Softener 23 Water Service 24 Gas Test 25 Final LZ • Tonk 'C7 Pit 2 S / L. line REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L r FAsb .P/ r� STT C 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) AWS 0 " 510615 AVE @4EZNDOZA CITY/COMMUNITY/STATE/ZIP LAQUtN T -A UA 922530000 JOB SITE ADDRESS/SPACE 'Si 065 AVE M"DOZA CITY/COMMUNITY/STATE/ZIP LA QUXNTA % 1 g 5:�t.l!01!n BOK PAG PRC C TWN PING SE S ty 77 07' lip 000 0 TRACT 000�!I!0 LOT 000 MOD 0111 SB TRSACT `NAME OWNER NAME (L, F. MI) LEE i1E'040" CONTRACTOR-FIRMR- ,kNNAMME �J.EE W6i1�1i1'i ADDRESS P. W. SOX 704 -- CITY'COMMON ITY/STATE/ZIP LA Nt, INV A CA 91!2530000 PHONE a 71.4-064.345 LICNC a 9791!2 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE a LICNC a USE OF PERMIT p��y ppy PL & FOR DUPLEX BIL /n� Vp ZpON Rte"- FSB 0th,. SSB* 013 +r {{S�SB Vp RSB dd p� Qi0 OFC �,}} IN ZONE ORD LOT SZ END SIDE Pf6' 61 04 I tl i! l! APPLICOMON 'FOR 81 TH-16 1 AN APpI You, must see the followingDep-artoentt a Permit can be issoedl w Description OLD - 0 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. 43 Final 10A Fireplace T.O. °o ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final _ - - - - PLUMBING- APPROVALS- PPROVALS 15 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/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtvres 31 Service 32 Final STREET NAME 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 Riverside. CA 92501 Banning, CA 92220 Ph: 787.6146 Ph: 849.7312 rcri— H—LIUMnun County of Riverside Department of Building and Safety 880 N. State Street 227 North "D" Street Hemet, CA 92343 Perris. CA 92370 Ph: 6564464 Ph: 657-3898 " 46209 Oasis St. Rm. 310 160 N. Broadway Indio, CA 92201 Blythe. CA 92225 Ph: 342-8271 Ph: 922.2670 This permit becomes void if work not commenced within 180 days from date of issuance, OR, if work has been suspended or abandoned for a period of 180 days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. License Class Date Contractor Lic. Number OWNER -BUILDER DECLARATION: I hereby affirm that 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 construct, 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 Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).): O 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 property 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. IL however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving 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. usiness 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 Contractor's License Law.). 0 1 am exempt under Sec. B. 8 P.C. (Attach Certificate) 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.). Policy No. Company Certified copy is hereby lurnished. Certified copy is filed with'the County Building Inspection Department or County Date Applicant Department. ACkICR TF MI II,NAV �Lk NMN ADDRESS 51065 AVE MENDOZA CITY/COM MU N IT V/STATE/ZI P LA QUIN'TA CA 92441.130000 JOB SITE ADDRESS/SPACE {� �y�r 1i' a65 AVE MEN�l37WrR.A CITY/COMMUNITY/ STAT E /Z I P LA QUINTA CA 922530000 BOK 77 PAG 07 PRC iia C TWN RNG 000 SE p S TRACTLOT 000000 aop MOD 011, SB TRACT NAME SCLV 414 OWNER..NAME (L, F. MI) VERNON CONTRACTOR -FIRM NAME LES CONST ADDRESS P.O. .Q. BOX 704 C I n'.ICOMM UN ITY/STATE/Z I P LA WUINTA CAS 922530000 PHONE p 714-564-345 LICNC p 97922 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE rl LICNC a USE OF PERMIT PL CH POR DUPLEX BL s ZON pµ FSB n 2 SSB ou SSB as RSB asa FC Na I ZONE ORD p P/P 6104 LOT SZ END Q Qa SIDE 0048 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the permit is for one hundred ($100) or less. I certify that 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' Compensation Laws of California. 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: E] I hereby certify 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, 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.) PaAs owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial ety, as noted above, unless such person has a permit to do such workiom that division. E] Division of Industrial Safety Permit No. Date Applicant CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Signature of Applicant or Agent Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to building con. struction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon the property lot which I have applied for this permit for the purpose of making inspections. Signature of Applicant or Agent ; Date Print Applicant/Agent Name APPL/PRMT M PS DATE { 008 O8 tl���yy,y©a��Q/�� �{{{{�� i i2 i ES /•.IMA 7 RD PLAN REV FEE *160.5 P -RMIT FOR STRUCTURAL PIAN REVIEW TOTAL FEE INSPECTOR'S 008968 PERMIT FDA STRUCTURAL PLAN REVIEW TOTAL PERMIT COST IS $160,515 CONSTRUCTION ESTXMf TIt (NOTEi Not to bo used as Property valvatioo) Iteurri.ptlon . • 'FCC Group Type Pt -Rata valtralion PRIMARY DWLg ©001 R-3 Lr_W 520 $27.68 $419152 EstPlan Rev Fee based on Total, Rutlimated Vaa'to of $49952 ist $160.135 le LORM 264-208 (2/81) 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 Slob Grade 35 Furnace Comport. 3' Steel 36 Inlets & Outlets 4 Grout Blocks r 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 Fite Wall 42 Commercial Hood .. 10 Fireplace P. L. 43 Final 10A Fireplace T. o. °o ADDITIONAL INFORMATION --- 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/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME