00022854 GradingAPPLICANT'NAM E(L, F, MI) -
k� ' ; f a I"', "
AobRooEySSS P:'
CITXIMMUNITYISThh��.l�V,�•
•L?t W` .N 7, AZIP.
` C'r0yp`
I �SfJ DDRESSISPACE"
BOK
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TRACTTt �N�AMeeE pp/y''���T, e� vvyy
V �4i9J441.! jjr - BL
QS�
CONTRACTOR -FIRM NAME
ADDRESS
CITYICOMMUNITYISTATEIZIP
PHONE'#
BLDG
ARCIENG FIRM NAME
ADDRESS '
CITYICOMMUNITYISTATEIZIP .
PLAN W
P-1
G.
L. r
.�• t)
�
� l TN
-FS
ZONE ORD p'
AP.F ! XCA1' L�i� . UR GRADING t�"�,�M��
I... .. - .
F
E
n .
(FORM- F'
280 2,c08 111 81) INSPE"QR •'i '�
t wT f
k,.i_f-:.,i�..,,. ��.; r.. .._._::,v. ;;..,,s..:,, r �. _:t\.'�__'E' �.�:`.:i, .r..A..+..<,� �..Y•,�n';, F.,tQ'�'.b:. rr.M �i ?+s�!_P ..':-�,.t �:ru:; �•4�M ?.d ,..A�,..� 1.�.`:•r=rw.. C.<�. _ .y:a .. .a _. .- ,, ...
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
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. 0. E]
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
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 f M
PERMITAPPLICATIONAPPLICATION
i
of Build
ngsand
Department Safety
h, 4080 Lemon St. 2nd Floor 135.N. Alessandro Rd. Rm. 203 880 N. Slate Street
227 North "0" 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 a Ph: 342.8271 Ph: 9222670
..• _ This permit becomes void II work not commenced within 180 days from date of issuance. OR. it work has beer suspended ,0! abandoned for a period p1 180 days.
".�0.
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-
�'"•Ing
pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this
is issued, I as
with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
permit shall not employ any person in any manner so to become subject to the Workers' Compensa-
tion Laws of California.
. CITYICOMMUNITYISTATEIZIP
Date Applicant
OWNERBUIL'DER DECLARATION: 1 hereby aflirm that I am exempt from the Contractor's License Law lot the
J. following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires'a permit to con-
NOTICE TO APPLICANT: It, after 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.
• slrucl, alter 'improve, demolish, or repair any structure, prior 10 its issuance, also requires the applicant for such
to lile'a signed statement. that he is licensed to the of the Contractors License Law
deemed revoked.
"
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit pursuant provisions
;(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
pf hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend. will
empt therefrom and the basis lot the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
subjects the applicant to a civil penalty of not more Than live hunderd dollars ($500).):
be made in connection with work authorized by this permit. and that no building structure. scaffolding, lalsework.
T'
`-
or demolition or di Ihereof. will be more than Ihifl six (36) feet hi h. (Cha 3.2. Gr 2. Art 2. Sec 341..
9 Y' 9 P P
d 1, as owner of the property, or my employees with wages as their sole compensation, will do'lhe work, and the
Title 8, C.A.C.).
I structure is not intended or offered lot 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 himself or
permit
dustrial Safety. as noted above. unless such person has a permit to do such work from the division.
�,,@,augh his own employees, provided that such improvements are not intended or offered for sale. It, however.
fa; I LAN #
- the building or improvement is sold within one year,ot completion, the owner -builder will have the burden of prdv.
❑Division of Industrial Safety Permit No.
Ing. that he did not build or improve for the purpose of sale.)
❑faas�wner of'Ihe property, am exclusively contracting with licensed contractors to construct the project (Sec.
CONSTRUCTION LENDING AGENCY: I hereby afli(m that there is a construction lending,agency for the pertor-
}
.y,1I044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
mance of the work for which this permit is issued (Sec. 3097. Civ. C.).
x -builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Con-
Lender's Name
tractor's License Law.)
Lender's Address
t0I am exempt under Sec. , B.& P.C. (Attach Certificate).
DaleOwner
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
:WORKERS' COMPENSATION DECLARATION: I hereby affirm That I have a cerlflinate of consent to sell insure, ora
building cor�gtruction, and authorize a representative of the County of Riverside. Department of Building and Safety
to enter upolnth�pro.e ty for which I have applied for This permit for the purpose of making inspections.
,a.certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.).
r - . ' -
_
'?,__ •Y ' 21
1114
OCerlified copy is hereby furnished.
°"�
0 C.1 c
'Ocertified copy is tiled with the County Building Inspection Department or County - Department. -
Si nature of Applicant or Agent Date
Print Applicant/Agent Name ,
NAME (L, F, MO
ADDRESS'
52720 • i lIIV,Au' slu
CITYICOMMUN ITYISTATEIZIP
rt
LA QUINTA CA 922. 30000
7 12
B3SJ pRESSISPACE AVE RUBIO -
6.. TylcA OwlM-iJ+L alfwZIP CA 922530000
BOK PAG PRC C TWN ANG SE S
7.3,15h 001 7 t 000 00 •
\
90()000
01 26
TRACTNAME
FAT, 4MEMERT,
DEV CO
CONTRACTOR -FIRM NAME
ADDRESS '
7
. CITYICOMMUNITYISTATEIZIP
PHONE#
5 'a
BLDG. INSPECTOR
ft ARCIENG FIRM NAME
� T7
.,..'AD,DRESS
4r�•
a CITYICOMMUNITYISTATEIZIP
i
vKA
fa; I LAN #
PfLJgNS EXAMIN R'
USE OF PERMIT • - - • -
Thi
;ONE ORD If
MnDo SB
01�
PHONE 8
LICNC p
FINAL DATE
LICNC It
s`
APPROVE DATE
APPLIPRMT 8- PS DATE
e0O242054 ICG
GRADING PLAN kEVIEW FEE:
09b• O1S (�SU�. O 4S tFF TOTAL .
. -,.-, r�'� FEE
LOT SZ µ hl�{Oh � � SSD€ CA Clue NC COUNTE�R�B�.I. XCOUN'
;9847
10.00
$101001
P-ERMIT FOR . GRAD NG jPL.AN REVIEW
TA''AL» PERRL COST :C 3
• y
-0 of tats: 0 QU YDS -Cu I 1 0 Fill: 100 Total Moved: 1,00
,,lGradisig Plan Revitaw Foe (based nn �uh�� E►�1�a taut andFilled) l �a: $10.00
4 �> • v1 -r.
�11 ,
1 '
4.
FORM 284.208(11.81) INISPECTOR,
- r
7
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms.
34
Plenums 6 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.
NON
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 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
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 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. State Street'
227'North "0" Stre4t 46.209 Oasis SI. Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning. CA 92220 Hemel. CA 92343
Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 -
Ph: 787-6146 Ph: 8497312 Ph: 6584464
"Ph: 6573898 Ph: 3428271 Ph: 922"2670 01 -
This permit becomes "void it work not commenced within 180 days from date of issuance. OR, if work has beer suspended or abandoned for a period of 180 days.
a
' v CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSEOCONTRACTORS DECLARATION: I hereby affirm That I am licensed under provisions of Chapter 9 (conimenc
pleted 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 Code, and my license is in full force and effect.
permit issued. I shall not employ any person in any manner so as l0 become subject lathe Workers' Compensa-
tion Laws of California.
. •
F1
Date Applicant
NOTICE TO APPLICANT: If; after making this Certificate of Exemplion. you should become subject to the Workers'
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
. Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be
following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con-
deemed revoked.
struct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such
PHONEp
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 five (5) or more feel 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 fora 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 live huntlerd dollars ($500).):
or demolition or dismantling thereof. will be more than thirty-six (36) feet high. 3.2, Grp 2. Art 2. Sec 341.
❑ I. a5 owner of the property, or my employees with wages as their sole compensation, will do the work, and the
,(Chap.
Title 8. C.A.C.).
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclor's.License
❑'A5 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
dustriat 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,
VL Y
the building or improvement.is sold within one year of completion, the owner -builder will have the burden of prov-
❑ Division of Industrial. Safely Permit No.
ing that he did not build or improve for the purpose of sale.)
�G7�
V ti
❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
CONSTRUCTION LENDING AGENCY: I hereby aflirm that there is a construction lending agency for the perfor-
7044, Business and Professions Code: 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. C.). ;
builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Com
Lender's Name "
'tractor's -License Law.) . '
Lender's Address
❑I am exempt under Sec. . B:& P.C. (Attach Certificate).
-
Date Owner
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY. I certify I have read this application and stale
CA
that the information given is correct. I agree to comply with all state laws and county ordinances relating to
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure. or a
building construction, and authorize a representative 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 properly for which I have applied for this permit for the purpose of making inspections.
+�
oeenter
❑Certified copy is hereby furnished.
•
❑Certified copy is filed with the County Building Inspection Department or County Department.
Signature of Applicant Or Agent Date •.
• - -
Print Applicant/Agent Name
APPLICANT NAME.'(L, F, MI)
PALM DtSER T , DEV CO
�y - py y r.� _
ADDRESS A AVE
j
RUB10
52I/2�yy4J��y
y�TyAVE
(� c} lnt'n�y
LACOQUiN j.AIZIP CA. 742530 N M 0
�O ZF DRE$SISPACE AVE R UBI Ci - -. .r i • -
�..W°O��N�1'� AZIP CA 7,22530000 +
BOK
773
PAG .
313;001
PRC
CTWN
7
000V00
PINGSE
S
000000 °626
;�
�°f_ I
SB
S
SC�•1�"" LA��Q0�1 71 ,_
�7g, y, yBLKt�-t
MAIC RmEft ER F , DEV CO
PHONEp
CONTRACTOR -FIRM NAME
LICNC If
ADDRESS -
CITYICOMMUNITYISTATEIZIP
PHONE R -
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME -
LICNC N
ADDRESS +
CITY/COMMUNITYISTATEIZIP
PLAN If.
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT _
GRADINQ
VL Y
°N• .
g7�
{i G.
(�y, �gq t
V V ]lSN `�
�G7�
V ti
yp �g7i
0 ts'4
IN
�C7'(�
NI)
.ZONE ORD p
1
LOT 52
0 J
OD6
APPLIPRMT d
00022 54
PS
X
DATE
oe/,02/82 13982'8
r
T
HJ
S
�I'
4
APPLIPRMT d
00022 54
PS
X
DATE
oe/,02/82 13982'8
r
TOTAL .
FEE '
CA
CK
NC
COUNTER B.I.
CrOUNTER'LtU7. ff "'•
APPLICATION FOR GRADING PLAN RF.VICW
X 8 A. N A P P -1, 7'_C A T 1 0 N Q N L Y
t
I,
r#.
FORM 284.208(11.81) ASSESSOR - ,
j APPLICANT NAME (L; F, MI)
>i PA[ DESE'sERT' �EV GCi°
t ,r PS
r X�
1 ADDRESS ht..1
e0 t om. r.♦ M" . .
PHONE q _
BLDG. INSPECTOR
CITY.ICOMMUNITYISTATEIZI P Y - aL 1t, _
rs; rf•�+ "->. o, '
QQ
JOB SITE ADDRESSISPACE ' ._•��� I t�
'w"Ja {.J
t tt
L c�UxlaiAZIP '
CA . 922 35;3aap0 •
fk BOK .'
PAG;_,,
PRC
C
-
`ADDRESS 4
TWN ,j
RNG
SE S
1 h .TRACT LOT .. -
SM apaaaa', aaz�
MOD SB ,
a1:x
�j TRACT NAME ••••
" P LK.r..
7 1.
• ,
�1
4ryWGpE7ipl
It
�$ 1'"Y79+. MEr1/.0 lx� IE4-'WV
PHONE
.
CONTRA'CTOR-FIRM.'NAME ` �-
LICNC p
BL
an:
ZON
-x"
C ADDRESS
,
q��t
�t•I CITYICOMMUNITYISTATEIZIP '
APPUPRMT p-
a'aaa2r2W-54.,
t ,r PS
r X�
DATE n ^
O8%/a2 ae }U{ (j4•J11
392
PHONE q _
BLDG. INSPECTOR
•FINAL DATE
x
AARl G FIRM NAME.
LICNC 11
`ADDRESS 4
r
AGIT•VICOMMUNITYISTATEIZIP
i
SMS
P,LANpy' PLANS EXAMINER APPROVE DATE
7( USEOFPERMIT • ,
GRADING
BL
an:
ZON
-x"
I;§B
aha
SS
ora,
q��t
.
., ZONEORD#
SZ
..
aEND
0.5 0:1
`SIDE
rINC.
4.< TOTAL .
FEE
CA
CK
I -COUNTER.B.I:.
�
APPUPRMT p-
a'aaa2r2W-54.,
t ,r PS
r X�
DATE n ^
O8%/a2 ae }U{ (j4•J11
392
x
•
r
rINC.
4.< TOTAL .
FEE
CA
CK
I -COUNTER.B.I:.
�
COUN TER.L:U:T.
�-
. � �.�.,,....�..�..,:._,,.--�,_,,,.�.,.fir-...:._:�.-----•-._.-.r—: _ —_.,–_
A:��'A 11 A"f iGl t ¢'t�Ft .'G�tAX3` i� ; . LAN. �aEVXE i
}Y
T ..`64 X S S A N .A P :P. 1. x E A I 1 0 .N 0--N L Y
It h <
FORM 2 i NSKC-TOR
0 8428 (1187) .•'+ 4:• i
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 6 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
l0A
Fireplace T. 0. Ej
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)
128 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
I I i STREET NAME