00011822, 00012698 (AR)01L")1iP
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v. Rus
(.IWY/COabtwyTiE/ZIP CA 02zi 30040
!T WIWRESS/SPACE AVE ROOM
FKCTi9TPA/ZIP
922530000
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*WQ'TAQ $244 TOLK-2163 LOTS 4 & 15
(L. F. MI) CA 1 LON
-exlelm
CONTRACTOR -FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE x
LICNC x
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE x
BUILDING ? PERMi i
LICNC x
TOTAL���
FEE
4M -r cm
Dp� IEA4
A
�LSi
N
��}¢'SgB'g��`qq!
WF�rW
Y! (B4
age sR�
o 1 t
�p
If;fe
E�C{h
JRD
ZONE ORD x
I
LOT S2
1000 0
0* 4
OffTfoFea4i
CONSTRUCTION
P At• i �S:I l Rr tL ... a� zJi'
FEE $74.2
ELECTRICAL FEE $8.0
PLAN CHECK
449.42
40.159
a
• "i
IL
STRUCTURAL RUCTURA 1
BUILDING ? PERMi i
TOTAL���
FEE
II OrMIUKJ C.VYT
C I
Sl RUC TUN AL RUILDIN0 ) P K R M I T
TOTAL PKRHXT COST IS 0131.50
,:CONSTRUCTION 9$TIKATE (NOTEt N t to bo uswd gas pr•epsrtV 9010�►tiwrt)
r
D*scriplion FCC oop Tvp* 94 Ft Rats Valuation
PRIM*Ry RISC M M 749 $10.00 $7400
SECND*Y AIRCON R-3 it 400 $t.20 $W
Constructloo Fos bastd on "J`oul'e victual. 'Valoaliort of 611 o is: $74.30
ALECIRICAL F WE COMPUTATIONS * for mit fss t ib s plicabiwy FEET $3.00
�s �4D�3 L F i 400 Sq. F t . DWLC � .till P*r► sq. FT. FLET 45.00
LAN CHECK $49.42
III
J,s
FORM 284-208 (2/81)
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System 2
2
Ftgs B 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
Y
Garage Fire Wall
42
Commercial Hood
10
Fireplace _ P. L.
43
Final
10A
Fireplace T.0.
°o
------------------
ADDITIONAL INFORMATION
r
.
-- ---
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
T3 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
2_
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
APPLICANTNAME (L. F. MV(I)
-
-
f�7NITY/ST
' IT
-- -
-J . SIT A S CE;
..
-
~IT NITY/STATE/ZIP
AVFE - 9001.0
141'r NPIPAk
A C C
it) 4�
TVA
n it ilk 41k
S
v
erRK�•
C. LO
-",,.MOD
SB -
.YRrC'r ANTE
'S a
24 004,
'MER NA L. F. M
LOTS
.. .•-
w
C N'AC OR -FIRM NAME
ro.
ADDRESS
CITN"!COMMUNITY/STATE/ZI P
PHONE #
LICNC N
ARC/ENG FIRM NAME
ADDRESS
1
-
CITY/COMMUNITY/STATE/ZIP
PHONE #
LICNC #
_
USE OF PERMIT
L— N
SSB
RSB
OFC
BK
ZONE 6R q
LZ
„ END
E
�)
K
�`�-++--�s+..s....uaJw�M6nr�.�.�..�+.w���.��¢e �. r.�—:-, �..a��.,. m :Y-.�4•_..._.J_s <.�.r.._s.w.. r. r _u_��-___. _..�..�►ivrr��Yrrwv..r - _
018332
A0 A p LA0.AT'I aN 0 0 L Y
4
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
Slob 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
G•ooge Fire Wall
42
Commercial Hood
10
Fireplace P. L.
E]
43
Final
10A
Fireplace T. 0.
El
°o
ADDITIONAL INFORMATION
_ _. _.--------- --- _ _ �_.
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Interpol Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
-- - - €LUM6ING-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
294 Grounding Wire
298 Bonding '
30 Fixtures
31 Service
32 Final
STREET NAME
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" Street 46-2(19 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 it 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
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed it the
with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
permit is for one hundred ($100) or less. 1 certify that in the performance of the work for which this permit Is Issued, I
ADDRE S ,
shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California.
,License Class Lic. Number
Dale Applicant
Date Contractor
NOTICE TO APPLICANT: If. after making this Certificate of Exemption, 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 following
Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be
deemed revoked.
-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
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing
[:) I hereby certify that no excavation live 5) or more feet in depth into which a person is required to descend, will be
�y
with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for
for the to
made in connection with work authorized this permit, and that no building structure, scaffolding, falsework, or
demolition dismantling thereof, be more than thirty-six (36) feet high. (Chap 3.2. Grp 2. Art 2. Sec 341, Title 8.
. the alleged exemption. Any violation of Section 7031.5 by any applicant a permit subjects applicant a civil
penalty of not more than live hundred dollars (5500).):
or will
- C.A.C.)
I, as owner of the property, or my employees with wages as (heir sole compensation, will do the work, and the
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial
Safety, as noted above, unless such person has a Dermic to do such work from that division.
s ruclure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law
TOTAL
f j , FEE
does not apply to an owner of property who builds or improves thereon, and who does such work himself or through
Division of Industrial Safety Permit No.
,his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or
s,
Date Applicant
Improvement is sold within oneyear of completion, the owner -builder will have the burden of Droving that he did not
build or improve for the purpose of sale.).
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of
Fthe
work for which this permit is issued (Sec. 3097, Civ. C.).
❑ I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec7044,
bender's Name
' 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 Contractors
Lender's Address
,;License Law.).
I certify that I have read this application and state that the above information is correct. I agree to comply with all
hereby
Qam exempt under Sec. . B. 8 P.C. (Atlath Certificate).
city and county ordinances and state laws relating to building construction, and authorize representatives of
q
this county to enter upon the above-mentioned property for inspection purposes.
i Date Owner
PRC'C
r
S�WORKERS* COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a
_
Signature of Applicant or Agent Date
!certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the '
foolic
information given is correct. I agree to comply with all state laws and county ordinances relatingg to building con-
No.^ Com an
s Y D y
struction, and authorize a representative of the County of Riverside. Department of Building and Safety to enter upon
r•,.[] Certified copy is hereby furnished.
the property for which.l have applied for this permit for the purpose of making inspections.
Certified copy is liled with'Ihe County Building Inspection Department or County Department
~
j Sign ature of Applicant or Agent •Date . '•� _-^
Date Applicant'♦-
Print Applicant/Agent �atne
x
APPLICANT NAME (L, VMI)
APPVPRMT 11 - -`PS ��-_----
y
DATE Pyro �(�:
e l8 �8
-
r• -
¢
ADDRE S ,
J.
CITY/COMMUNITY/STATE/ZIP
}
LA QUINTA
„ • .r-
I r
TOTAL
f j , FEE
912,630000,
JOB SITE ADDRESS/SPACE
CITY/COMMUNITY/STATE/ZIP
q
BOK PAG
PRC'C
TWN
RNG
SE S
I 1.
Ail
4 1141
14
TRACT
LOTMOD
SB
tr
•1TRACT NAME
•,OWNER NAME (L, F. MI)
'.
CONTRACTOR -FIRM NAME
ADDRESS
Cin'!COMMUNITY/STATE/ZI P
PHONE a
LICNC e
ARC/ENG FIRM NAME 1
ADDRESS—
... 1
CITY/COMMUNITY/STATE/ZIP
'
PHONE 4
LICNC 0
,
USE OF PERMIT
I PLAN
BLZON
FSB SSB 'SSB
RSB
OFC
2-
ZONE ORD #E
SZ
ENDIft"t
r SIDE11111110
x
APPLICANT NAME (L, VMI)
APPVPRMT 11 - -`PS ��-_----
y
DATE Pyro �(�:
e l8 �8
J.
}
y
C14
„ • .r-
I r
TOTAL
f j , FEE
01.8 54.8
x`09 `KAW CHgsVWFIRIEPLAC
`TOTAL P'k?:R#k ITt,Caslf $
PLAN CHANOE/FIRUP LAC
0
FORM 284.208 (2/81) ; Ste4i '•i" '"}, /� - t
'4.: i•.r� 't
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
?ATE
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
G -cage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O.
°o
_
----
S
ADDITIONAL INFORMATION
..._.�. �__ ....,�-_...... _..r __...-,..► .�._-a. ... ..�. .►
.
-------- -------
.,
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall —._-
'13 Finish Grade .- �_ _... _�. .� __.,..�� _ -�.
INSULATION Thick R
Value
7A Walls (Botts)
1218 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
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
APPLICANT NAME (L, F. MI) ,
tr 1
-
CITY/COMMUf��NjjIT/SSTATE/ZIP w
aY
INTA
.. JOB SITE ADDRESS/SPACE '
51,428% IR totl a
CITY/COMMUNITY/STATE/ZIP
LA RI1�
�TWN
BOK
PAG
PRC
.0
ANG SE S
..
;.:TRACT -
LOT
-
MOD
SB
TRACT NAME `
' -
OWNER NAME (L. F. MI)iy,�..Mw-eT''
1
CONTRACTOR -FIRM NAME
ADDRESS
p�p
�ITV/COMMUNITY/STATE/ZIP
-C ,Pt
PHONE #
r.
LICNC N
ARC/ENG FIRM NAME
E
' ADDRESS "
CITY/COMMUNITY/STATE/ZIP
PHONE U
4
LICNC N
k
' USE OF PERMIT
Vfty
¢"8L ZON • FSB SSB SSB RSB OFC
z 4
ZONE ORD # •,`
LOT SZ
END SIDE
APPI/PRMT p PS UATh � 1018547
♦. {'4-.j•
V
TOTAL
FEE 3
INSPECTOR'S COPY
------y------TZY----'- - -_---- -- ._ -0--8:54---_i
F HANK
RKLAC
A 1,n P P t;. 'l 0 iA IN Q .N L tit
I
t
r I
)Jf
FORM 284-208 (2/81)
I
�/OM1'
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. Ej
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 (Botts)
12B Ceiling (Batts) i
12C Ceiling (Blown)
14 Final
-- -------.._----r•wrlYslivGiarr•Fca`i`Jr'�i�-=_-__—.---_----
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 ServiceEntrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME