00016569 (GRD)APPLICANT NAME (L, F, MI) . YOUNG, , RODERT - REED & LAUREN
ADDRESS
598IZ: AVE MONT>' RD
:CITY/COMMUNITY/STATE/ZIP
UT�a1`A CA 922530000
.
f
AVE MONTE 0
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R922530000
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617
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44
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CONTRACTOR -FIRM NAME
LICNC p
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE #1-
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
Y
LICNC #
ADDRESS
CITY/COMMUNITYISTATEIZIP - -
y
PLAN # -
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT.
QR AZDZNO CUT-88/FILL 02 •g{..
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FORM 28E-208 (11-81)
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 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. 0.
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
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
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect
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 permiLlo con-
struct. 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 [hat 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 penalty of not more than live hunderd dollars ($500).):
❑ I, as owner of the properly, 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. If, however.
the building or improvement is 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.)
❑I, 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.)
❑I'am exempt under Sec. . 8.8 P.C. (Attach Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
❑Certified copy is hereby lurnished.
❑Certified copy is filed with the County Building Inspection Department or County Department
APPLICANT NAME (L, F, MI)
YOUNG , t OBERT i, REED & LAUREN
PERMIT APPLI "
County of R4,�e"Department of Bur) and Safety
CITY/COM MUNITYISTATEIZI P
LA QUINTA CA 922530000
4080 Lemon SI. 2nd Floor
Riverside. CA 92501
135 N. Alessandro Rd. Rm. 203 880 N. Slate Streette 227 North "D" Street
Banning. CA 92220 Hemet. CA 92143 •rPerris. CA 92370
46.209 Basis SL Rm. 310 160 N. Broadway
Indio. CA 92201 Blythe. CA 92225
Ph: 787.6146
Ph: 8494312 Ph: 6584464 Ph: 657.3898
Ph: 142-8271 Ph: 922.2670
This permit becomes void il'work not commenced within 180 days from date of issuance. OR, it work has beer suspended or abandoned lot a period of 180 days.
0000
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect
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 permiLlo con-
struct. 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 [hat 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 penalty of not more than live hunderd dollars ($500).):
❑ I, as owner of the properly, 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. If, however.
the building or improvement is 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.)
❑I, 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.)
❑I'am exempt under Sec. . 8.8 P.C. (Attach Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
❑Certified copy is hereby lurnished.
❑Certified copy is filed with the County Building Inspection Department or County Department
APPLICANT NAME (L, F, MI)
YOUNG , t OBERT i, REED & LAUREN
49813 AVE MONTERO
CITY/COM MUNITYISTATEIZI P
LA QUINTA CA 922530000
AO E�A&. RpESSS�/SSP%A�C�E AVE u"�,a.fERO
CI AICOMMUl4ITNTAT/`EIZIPLA CA 922530000
��C��" PPFRC
BOK
bid
PAG
441
002
C
3
TWN
0000
RNGSE
00
S
TRACT LOT
0 034r46 OO
MOD
01
SB
TRACT NAME
Y �� lt1,11E�IL,F, ,OD>w.RT, REED ter L
lJREN
CONTRACTOR -FIRM NAME
LICNC p
ADDRESS
CITYICOMMUNITY/STATE/ZIP
PHONE q
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITY/COM M UN ITY/STATEIZI P
PLAN p c.J/`
EXAMINER
APPROVE GATE {f
USE OF PERMIT
GRADING CUT-OB/FILL 102
iia
RAN
021)
015
015
OPO
IND
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P/P659
LOT SZ
END
SIDE
0000
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com
pleted it 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' Compensa-
tion Laws of California.
Date Applicant
NOTICE TO APPLICANT: II, alter makingthis 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:
01 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 thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
Title 8, C.A.C.).
E) As owner -builder. I will not employ anyone to do work which wouldrequirea permit from the Division of In-
dustrial Safety. as noted above, unless such person has a permit to do such work from the division.
[)Division of Industrial Safety Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor- .
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 information given is correct. I agree to comply with all state laws and county ordinances relating to
building construction, 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 •', 7 Date I
! \ r ;Piirit Applicant/Agent Name
APPLIPRMT q
0 0 016569
GRADING
PS \ DATE n (1 �1 /� O
CG n�kf16/82 2 Vh Wh 4
FLAN REVIEW FEE $15.00
TOTAL .
FEE
$15.100
CA
CK
XCOUNTER
NC
COUNTER B.I.
L.U.T.
ERMI'r FOR GRADING PLAN REVIEW
TOTAL. PERMIT COST 15 $15.011
0 of Lota t 0 CU YIDS- Cut) Be F1111 102 1'otal Moved E 190
Grading Plan Review Pee (based on cubic ydz Gut and Filled) as: • $15.00.
.' :3
1
FORM 284.208111-81) INSPECTOR'
EC f OR
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
10A
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
i
t
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSOLATION. - Thick
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
i
III
P/l 'jP/
I
ELECTRICAL APPROVALS
"26 Power Pole
27 Conduit
28 Service Entrance
29 - Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
• i
STREET NAME
I
°LICATION
Wersidd
APPLICANT NAME (L, F, MI)
O EE rE ' t.AUREN
Wild and Safety
- 4080 Lemon Sl. 2nd Floor t35 N. Alessandro Rd. Rm. 203 860 N. Slate Street
St ree
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 if work nor commenced within 180 days Irom date of issuance. OR, it work has beer suspended or abandoned for a perioo of 180 days. -
'❑ -
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be cpm-
LICENSEDCONTRACTORS 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
Ing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect.
permit 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
OWNER -BUILDER DECLARATION: I hereby affirm That I am exempt from the Contractor's License Law far the
NOTICE TO APPLICANT: If, alter 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 [his permit shall be
following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to con- 1K
deemed revoked.
struct, alter, improve. demolish. or repair any structure, prior to its Issuance, also requires the applicant for such `
LICNC It
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-
01 hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend, will
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 penalty of not more than five hundeld dollars ($500).):
be made in connection with work authorized by this permit, and that no building structure, scaffolding. falsework,
LICNC If
or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2. Art 2. Sec 341,
❑ 1, 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 Irom the' Division of In -
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.
, -
the building or improvement is sold within one year of completion, the owner -builder will have the burden of pfov-
[]Division of Industrial Safety Permit No.
Ing that he did not build or improve for the purpose of sale.)
❑1, as owner of the property, am exclusively contracting with ficensed*contractors to construct the project (Sec.
CONSTRUCTION LENDING AGENCY:, I hereby affirm that there is a construction lending agency for the perfor-
7044, Business and Professions Cade: The Contractor's License Law does not apply to an owner of properly who
mance of the work for which this permit is issued (Sec. 3097• Civ. Q.
builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con-
Lender's Name -
tractor's License Law.)
Lender's Address
❑I am exempt under Sec. . B.& PIC. (Attach Certificate).
Date Owner r
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
-representative
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have 5 certificate of consent to sell -insure, ora
building construction, and authorize a of the County of Riverside. Department of Building and Safety
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.).
to upon the property for which I have applied for this permit for the purpose of making inspections.
oeenter
❑Certified copy is hereby furnished. {
„
❑Certified copy is tiled with the County Building Inspection Department or County Department.
Signature of Applicant or Agent Date
APPLICANT NAME (L, F, MI)
O EE rE ' t.AUREN
ADDRESS -
49813 AVE MONTERO
CITYICOMMUNITYISTATEIZIP -
LA QUINTA CA ?22530000
JOB SITE ADDRESSISPACE
49813 AVE MON ERG • _
CITYICOM MUN ITYISTATEIZIP
LA QUINTA CA 9223,30000,
BOK
617
I PAG'
441
I PRC
002
C
3
TWN
6000
RNG
SE
00
S
TRACT LOT
00344E 000
MOD
dig
SB
TRACT NAME
.OWNER NAME (L, F,Nil)
YOUNGo R OBERT, REED & L
PHONE #
41JRE1
CONTRACTOR -FIRM NAME
LICNC It
ADDRESS '
CITYICOMMUNITYISTATE/ZIP
PHONE# ,
SLOG. INSPECTOR
- FINAL DATE -
ARCIENG FIRM NAME -
LICNC If
ADDRESS
CITYICOMMUNITY/STATE/ZIP
PLAN If
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
GRADING CUT-88/FILL '10�
BIL.ZON
00
R
FSB
010.015
SSB
SSB
015-.020
RSB
OFC
IND
ZONEORD#LOT
P/P6598.
SZ
'END
SIDE
0000
APPLIPRMT # PS DATE - 2
0001,6569 JXG 104/1 6/82
6639
4
TOTAL .
FEE
CA CK I NC I COUNTER B.I. COUNTER L.U.T.
APPLICATION FOR GRADING PLAN REVIEW
T W I 8 T 6 A N' ' A P P L I C A T 10 'N C N L, Y
FORM 284-208 (11-81) ASSESSOR
.APPLICANT NAME (L, F, M1)
.YOUNG. ROBERT REED & LAUREN
ADDRESS
498.13 AVE , N4i NTERD
M f"7C0 WW". CA 9422 30000
_Y&EfIRESSISPACE AVE MONT ERR
aaM� �
ERRTA''{{0�sO
�IS��IZIP
CAS' 4222.530000
BOK
617-441
I PAG
PRC
042
C
�
TWN
0000
RNG
SE
00
S
0003448 ob09
U11
SB
TRACT NAME
8r_zR REED & L
VIAWk
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITYISTATEIZIP
PHONEp,BLDG.
s
INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME -
LICNC N
ADDRESS
'; CITY/COMMUNITYISTATEIZIP
PLAN # ,PLANS
EXAMINER
APPROVE DATE
V
dWAINR�ING CUTS--88/FILL 102
R0,11
1'�fN
0"ib
6S�
JS..
NAS i
rggg
®C: li
O
bFi`t 11/
i
LOT SZ
END
00�61)6I
APPLIPRMT qPS
0 0 016156`
xLG
DATE � � � /1
0 4l,1 ul:�� 3 9
. TOTAL .
FEE
CA
CK
NC
COUNTER.B.I.
.. -
COUNTER L.U.T. ,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Figs & 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. 0. C]
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