SATT (00008070)APPLICANT NAME , F, MI)
0'1 (�}V(.0 72
$4 . t Ito
P'Lu"BING [r g''it
a, DREEyStS//TSPACE
SCLw/7�
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NAME (L, F. MI) vita �FW17�C
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ARC/ENG FIRM NAME
ADDRESS
CIT V/CO M MUN ITV/STATE/Z I P
PHONE N
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4184
STRUCTURAL
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APPUPRMT N PS DATE
RU7IOW FIX
0'1 (�}V(.0 72
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057.04
ItLICTRICAL
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STRUCTURAL
WilLUND
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TOTAL
FEE
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w4ar -IUK0 %-ury
018072
STRUCTURAL t SUILDING P 9 a N 1 7
rl►T 111MxT Owl 11;
"' WTI Irl"ATS. t t Not to bo govs #s p' tib ty v 'loolt,oft3
ipti' '� #rtp TIsm v $27#tar V -6100t ��
'� * pvcti r d r 6tAic ,v I volvaition 0 X41,11 1*,1 �� � 0'0
FORM 284-208 (2/81)
iif.VV
of ! r t .00 cach Ira T
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t avt irrt,* r 2 or Or+� wt is t 0 r
t*p �ipinq And/or wAtor Trost"'"t lEgviptt f E
1 ,f•
;f f
r
NO. OPERATION
DATE
IN & T�
NO. OPERATION
DATE t
c
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS -
1 Set Back f'��
33 Ventilation System
2 Ftgs 8 Frms
34 Plenums & Ducts r ..-
Yy'
35 Furnace Comport. -
2A Slab Grade
3 Steel
36 Inlets & Outlets
4 Grout Blocks
37 Combustion Air
5 Bond Beams
38 Compressor
6 Roof Deck 3- L-�Z n
7 Framing ��`j' .�:
8 Vents
9 G•u age Fire Wall
39 Appl. Clearance
40 Fire Damper
41 Smoke Detection Device -LZ YZ
42 Commercial Hood
10 Fireplace P.L.
43 Final
10A Fireplace T. 0. ❑
°o ADDITIONAL INFORMATION
/ '� , r. ,ez
� n //�� //
isu/� .�lv/Lj yC Jlt
✓ �J''77 V / C�
( / ,
inl /,C Tv A p
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��`t �c _ _/
C,7 Z
q _ Q
_ _
L 661 j=' e COc PJ r G`
Wim. �/- ZZ PZs
SEWAGE SYSTEM SIZE LOCATION
11 Exterior Lath
12 Internal Lath —
12A Drywall �
13 Finish Grade 'L
INSULATION Thick
R
Value
7A Walls (Batts)
128 Ceiling (Botts)
C
!damMYA
12C Ceiling (Blown)
14 Final
- PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb �/ � �.' '., •+-^
18 Vents 'mss _ _- -•.
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25 Final LZ
y/&-
Tank /6427-13 Pit -f— L. Line
s
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
'
.-
I P/
111 S r
3 / C I/
26 Power Pole
27 Conduit
28 Service Entrance,�-
29 Wiring
29A Grounding Wire -
29B Bonding
30 Fixtures 22
31 Service
32 Final
STREET NAME
"iEEf ' VERWN
MUM AVE MENDOZA
C/C F7f �.i l{.WjTAE/ZIP `✓A. "s.2530000
bj bTffDRESS/SPACE MENDOZA
AVE�{
` A/CQEG1�aa7�TRI ME/ZIP
CA 9212V5,38000�
212ie
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ty
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100,4_1
APPLICATION FOR MUCTURAL PERMIT
69h
SB
MVME#14
.LVI I NAMESQ F. MI)
�((L,
t(gr.ACTe
11-st'OX
{PDO
,.
IdsS 764
eT,r/C Idw /yTE/hZIP CA 221530000
1�#..S{7f�i �1h
!'t.(W�N�,'+r MP�j{�ycRjj'9�i.R
ARC/ENG FIRM NAME
ADDRESS
'CITY/COMMUNITY/STATEIZI P
PHONE #
LICNC N
)�OR DUPLEX
P tPZOzfwA
LOT SZ
0,dIQb
WOLOW n 7 0 IAV
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APPLICATION FOR MUCTURAL PERMIT
1 / TOTAL ,.•
FEE
IMPLUOR'S COPY
---------__--------_--�_-_ __------- -0� 8069
APPLICATION FOR STRUCTURAL PERM11
M S I AN APPL.ICAN L Y
You flint t3ea the folltswing Deport"faots (14' listed) for conctarr'r� � BEFORE
a Parnil car, bo isuved t
.w ...Descripl ,Q. ;,..w «..wv+n:.,s,... Dept _�t ii'] Gee
�4i�Sf� fl!df�� F fi
FORM 284-208 (2/81)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftqs 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.
°o
------------------------------
ADDITIONAL INFORMATION
-
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Bans)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
c,aPs<o�a>-------------------------------------------------
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
P/L
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
This permit becomes void if work not commenced within 180 days from date of issuance. OR, it 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 IhO I am exempt from the Contractor's License Law for the following
reason (Sec. 7031.5, Business and Prolessions 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 Contractor's 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 (M).):
YYI, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the
r ructure 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.).
PI, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec7044,
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($) licensed pursuant to the Contractor's
License Law.).
❑ I am exempt under Sec. . B. & 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
Certilied copy is hereby furnished.
Certified copy is liled with'the County Building Inspection Department or County
Dale Applicant
Department.
Countyy of Riverside
v
'J(5 $TQ,Q�RESS/SPACE AVE MEMAAZA
ii M OM�;jjjJa`jj(/ TFIZIP CSA 9225300010
f7
Department of Building and Safety
PA�0,J
PR& O
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203
860 N. State Street 227 North "D" Street
46-209 Oasis St. Rm. 310
160 N. Broadway
Riverside. CA 92501 Banning, CA 92220
Hemet, CA 92343 x Perris. /JA 92370
Indio, CA 42201
Blythe, CA 92225
Ph: 787-6146 Ph: 849-7312
Ph: 658-4464 - Ph: 657-5898
Ph: 342-8271 7
Ph: 922-2670
This permit becomes void if work not commenced within 180 days from date of issuance. OR, it 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 IhO I am exempt from the Contractor's License Law for the following
reason (Sec. 7031.5, Business and Prolessions 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 Contractor's 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 (M).):
YYI, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the
r ructure 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.).
PI, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec7044,
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($) licensed pursuant to the Contractor's
License Law.).
❑ I am exempt under Sec. . B. & 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
Certilied copy is hereby furnished.
Certified copy is liled with'the County Building Inspection Department or County
Dale Applicant
Department.
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:
❑ I 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 thereol, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2, Art 2, Sec 341, Title 8.
C.A.C.)
IAs owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial
ty, as noted above, unless such person has a permit to do such work from that division.
C] Division of Industrial Safety Permit No.
Date Applicant
CONSTRUCTION LENDING AGENCY: I hereby alfirm that there is a construction lending agency for the performance of
the work (or which this permit is issued (Sec. 3097, Civ. Q.
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 slate 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 slate 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 for which I have applied for this permit for the purpose of making inspections.
Signature of Applicant or Agent Date
Print Applicant/Agent Name
ii iQ08Q?a___._ ..c » DATE �l -
ESTIMATED PLAN REV FEE
A V1 V e l AVE MENDOZA
�y N�f�1�+�;P„„yy w
•CICA)MO �+NTWIP CA 92 i. 3 V V 0 Q
'J(5 $TQ,Q�RESS/SPACE AVE MEMAAZA
ii M OM�;jjjJa`jj(/ TFIZIP CSA 9225300010
f7
!/ ..
?J7
PA�0,J
PR& O
C
TWN
RD
SE S
TRdCd 0 0
L06
f)04
I MWI
SB
1"MWEV #14
OrrCME (L, F, MI)VERNON
C r..rret.,rrTOraJ
PDX 704
YEWIP
to-
CAIq ty/��k
9 ./48 4�/V
CI�.�py
*345
gEOMt�{JOTL�/�w
P /'Nd 4iM"nl564 �'
��yN p("�rjy
LI77IreirFi
ARC/ENG FIRM NAME` --
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE 4
LICNC p
'PC PEE' FOR DUPLF
Bb
TOTAL
FEE
�•�
Fdb
sro
ng
$6
R�B.
FTS
ON
ONE OtDp.A
LOT SZ
p, aa�e
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:
❑ I 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 thereol, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2, Art 2, Sec 341, Title 8.
C.A.C.)
IAs owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial
ty, as noted above, unless such person has a permit to do such work from that division.
C] Division of Industrial Safety Permit No.
Date Applicant
CONSTRUCTION LENDING AGENCY: I hereby alfirm that there is a construction lending agency for the performance of
the work (or which this permit is issued (Sec. 3097, Civ. Q.
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 slate 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 slate 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 for which I have applied for this permit for the purpose of making inspections.
Signature of Applicant or Agent Date
Print Applicant/Agent Name
ii iQ08Q?a___._ ..c » DATE �l -
ESTIMATED PLAN REV FEE
011203 _
PERMIT FOR Vii' UCTURAL PLAN
AEVIEW
TOTAL
FEE
RINSPECTO'S COPY
ELECTRICAL APPROVALS
eac CVCTCM C17C JL InPATInAI
REAR OF PROPERTY LINE
STREET NAME
i
r .
1011203 1
MKIT PUR."S-TRUCTURAL MAN REVUW
TOTAL PEATUT COST is
1" You "Uzi see the following Depart"ents (if lisled! Our concurrence
a perml.t can be is%oedl
Des criOT-ion D00artmenT
HOLD- ROAD
-'HOLD- KALTH
(NOYrit Not -to., be -used-o% pt-oper.,tv valvatton)
Description, FCC ---Grgui S F I .v
- valu;ltion"
p T'
PR�MARY .DULG 0001 R-13 - All 141,152-
Eat Ian eO Fee bated oft Tota.1 Kstimatod VaPto o I 's. $160e5z
73 j
-2--
A,
FORM 284-208 (2/81)
NO.
OPERATION
DATE
INSPECTOR NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Cleo once
7
Framing
40
Fire Damper
8
Vents`
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
11
12
12A
13
Fireplace T. 0.
Exterior Loth
Internal Lath
Drywall
Finish Grade
°o
ADDITIONAL INFORMATION
INSULATION
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
Thick „R
Value
APPLICANT NAME (L, F, MI)
km4aw
51, ,,0 fir.AVE MENDOZA
CITY/COMMUNITY/STATE/ZIP' ��wV,,pp �y e��y tt
F.r 'ul .d. 117 ruk 9 22%o 0 iP
JOB SITE ADDRESS/SPACE
5$ oat - AVE MENI OZA
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CSS 9122530000
BOKPAG
PRC
C
TWN
RNG
SE S
177
.07
0
0.0
0
TRACT
LOT
MOD
SB
�►c�QQci
000
01
TRACT NAME
�. a *14
OWNER NAME (L. F. MI)
LEE VERNON
COCM M
b
ADDRESS
W0h• .
PIQk BWA,
"CITY/COMMUNITY/STATE/ZIP
.2 h
LA QUINTA CA!'
PHONE 0
LICNC N
14,:5&4,345;
97922
1
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
;PHONE #
LICNC N
USE OF PERMIT
,PL -CH Pets DUPLEX
4BL ZONFSB
_
1001 - R_:4
SSB
05 00
SSB
:00
RSB
01
OFC
IU
ORD q
LOT SZEND
1410
SIDE
dZONE
i104
I
1 1
1
0046
'r10089351
APPLICATION FOR 'ST'R UCTURAL.TLAN REVIEW-.
°TUU "ani seta the following Depar•e lents (if listeti) for 'concurr•ence
a per Ait can be Assuods
DO" riplion
HOLD
FORM 284208 (2/81)
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
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 (Botts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
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
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME