00017723 (SFD)APPLICANT NAME (L, F, MI)
ADDRESS
51070 AVE, RUBIO
CITY/COMMjTIT0
'Y1ST. TEIZIP Q 1A Ell A 1) 12 2 0 0
LA
tQ117406 RESSISPACE AV' ': RAMIREZ
UOVOYATrAzIp
CA 922530000
BOK
7 74
1 PAG
'I
rd cl -2
C
1 4
PJV
N
c
6,60
?), 0
S
'7r/
TRACT
OU000 Wo
I hr
e
.�4
IM I
SB
TRACT NAME
SCV LAO UNIT 22 ULK 231
OSURIMM'," RICtt E
PHONE
CONTRACTOR- FIRM NAME
LICNC #
ADDRESS
CITY/COMMUNITYISTATEIZIP
PHONEN
BLDGr a OR—&—.
_
IF
7'? DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITYISTATE/ZIP
PLAN N
PLANS EXAMINER
77 DATE
TW-UTM% ATT CAR'AVT,!.'
%
�O
I I FL11fIb
0111,
0I
4 0 f�
03
re�
1--,
ZONE ORD N
c?r 9 1 c u Amp r,— I i 122 Cervice Annn-21, 0 0
LOT SZ
I I
ADD' L V -'UE C 14e 0 li" q . F T . mR.A", t 01 E a pc -)-i- sq . v T .
1 0 0
o I
NO
APPLIPRIVIT # PSDATE
6" 40301
4
U 3 071
L LLCY11 I VIAL FE'E'
cJ I •Ple"
MECHANICAL
516
I'AMBTRUCTION LSTIMWE G'Wt",,t Not to ht:) tvc?d pv,oj',c-,tV
Sill FEL-'
It 3 6
t �k 0 n
P f I 111 A v y 001'c 101 W -A v "A0 �1 2 V . 60
e
.�4
w.
I;EcNbfy PA t'y 0 329 M V-; O 0 Oil. A�0
A 11141
S V C, WO V y P161 A If It 4'1136 6 0 01) � t 4 9. 10
BECNIVY A I f) GUN01
Gofi�:�Tvucticn Vut) on Tovil AcTual ValtsaTion of
MMPUTA-11ONS �:, Vcr,mit Fec-) (if opplic)ble)
F V, F,
00
V C04 2 U. va p Gooler. 100 Ho od; 0 1 00
F' LE
TOTAL
FEE
APPLIAOCIE,,-�,,z�:�Dvypv , (it Others 00
CA
ICKg
INC
ICOUN'fEeBJ
COUNTER LU.T.
- - - - - - - - -- — - - - 0' z- -- - -- -- — --- -- -- — — — — — �sr
11
1
4
U 3 071
I'AMBTRUCTION LSTIMWE G'Wt",,t Not to ht:) tvc?d pv,oj',c-,tV
Pei; cp ip I A on 1, " t11[; I I.; r!U' p T C) 13 t�� 'tT c-2
Va I u 3
t �k 0 n
P f I 111 A v y 001'c 101 W -A v "A0 �1 2 V . 60
e
.�4
(j
I;EcNbfy PA t'y 0 329 M V-; O 0 Oil. A�0
A 11141
S V C, WO V y P161 A If It 4'1136 6 0 01) � t 4 9. 10
BECNIVY A I f) GUN01
Gofi�:�Tvucticn Vut) on Tovil AcTual ValtsaTion of
MMPUTA-11ONS �:, Vcr,mit Fec-) (if opplic)ble)
F V, F,
00
V C04 2 U. va p Gooler. 100 Ho od; 0 1 00
F' LE
06
APPLIAOCIE,,-�,,z�:�Dvypv , (it Others 00
FF, L;' s
00
COMP VE:11- C 64,.--W. 3 HP 0,9 >3-113; 01 i15-31, 0 100>'1U -.-o40 , 00 >r,� I C0
f- t -.E
11P'-A'T1W,G�,,iYSTEO W001001 KfUtol 1000001 Of' hopo Brutou
V FF
4 0 f�
03
L -1-;X1,111 AL FUM COOP TAY ONS Vormil Veo (,xf appl:,icr)blcl)
'Blervico
1--,
c?r 9 1 c u Amp r,— I i 122 Cervice Annn-21, 0 0
1; t
:;'i 011
ADD' L V -'UE C 14e 0 li" q . F T . mR.A", t 01 E a pc -)-i- sq . v T .
V r-:
V i
'Z;
FT . p 111 G1 A V .007U ppi, �q. Ft.
0
PLUr-IBINC; FLE COMPUTATIONt-l' c PtmiT Fcjn f Z) p p I i,< - b X (s)
FIXTURL-5--Par Sinhi 0 Drinhinn P'ntn-. 0 Fli, Di,alo% 10
Water softwi?7'I 0 W�)) hcr (Akuto/biv�h)l 2 Varboqc? I
KiTchen t1in1,,,,s I LOW111dry Tr'Ovt 0 ur�nnll 0 uta'2
gi 2 Show, i Tuh : I �Jidel : P Other 1 0
Lavatorer,
F F" 1"(25
00
Private Stiwaqcl DiGponal-Nems I Old: 11
0 . un
0 of Uator HL*31ept,l 10 of Dw-c)in pri V004'- 00
jnf-�tajj-8jjen ov Uatc.�r Pipinkj' and,,'ov Uo-T-nv Yr eatmenT
0
MIX FEE
INSPECTOR
NO.
OPERATION DATE
INSPECTOR .
NO.
,y
33 Ventilation System
°tomu
34 Plenums B D r.',•
35 Furnace Comport. 'hs f< .•, % k—
port.
BUILDING APPROVALS;
1 Set Back .Z�
2 Ftgs 8 Frms Q
D•-Lp�,�QJ�
2A Slab Grade "/ \
3
Steel
Z
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 L ZZ
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace
P. L.
43 Final Z-2-2
10A
Fireplace
T. 0.
NON ADDITIONAL INFORMATION
�/lJ� TO)� o/
'
%7-S /✓[tel �l �n/� ("°'/
0
SEWAGE SYSTEM SIZE & LOCATION
•�
11 Exterior Lath _
12 Internal Lath
12A Drywall ��a/9
13 Finish Grade L
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts) ��
-
12C Ceiling (Blown)
14 Final 12-2—
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater r
22 Water Softener
23 Water Service
24 Gas Test
25
Fina)
L
Tank Pit L.Line
,r
P/LP/
REAR OF PROPERTY LINE
Ir Ir"
d r
O Q
ELECTRICAL APPROVALS
26 Power' Pole
27 Conduit)
28 Service Entrance
29 Wiring ice.
29A Grounding Wire Cl
29B Bonding
30 Fixtures
31 Service
32 Final Z.
STREET NAME
IAPPptLIRCANT.NAppM►�E��0.1 F;MI)• .tt��1+py '",." �., �5
]
,ADDRESS.-
,079 AV.E'._ ai xra
CITYICOMMUNITYISTATEIZIP.
taA..:ACi�..j..A, Gf:'. '93ao;tl.lti
JOB I E ADRESSISPACE
uYt� AVE tAP�tR'
C�r1C0 {q U I,I�iT�T„ZIP "CA '922530000,
BOK
774
PAG
122
PRC
01a
C
;a
TWN
-
�
RNG
0
SE .'
UTRACa
S
Q OTti Q A Q UT01;
TOTAL.
{ FEE
1DD:l 3
r
SB
CK:.
TRACT NAME.
Cd l:;A( ".IiiNy;,7 2C? �Sl k 23,1.
O �fE �dIV 14 ICK `a
PHONE p. .
- CONTRACTOR -FIRM NAME
LICNC # .
ADDRESS
CITY/COMMUNITYISTATEIZIP
+ !PHONE p ' `
BLDG. INSPECTOR,
FINAL DATE -
'ARC/ENG FIRM NAME^.
LICNC q `
l 'ADDRESS. -
CITYICOMMUNITYISTATEIZIP ”
PLAN,#
=EXAMINER ''
APPROVE DATE
USE OF PERMIT -- - -
A11T. GARAGE. ^...
BL
ZOIC...
F B
S B
ZONE ORD p..
LOT SZ
nn 040
qqr I
'APPLIPRMTq PS; . DAT 4 0 3 0 0
aao1 A oo-
TOTAL.
{ FEE
CA
CK:.
NC
COUNTER B:L;
COUNTER L.U.T.
�o...a �+wr �......._. �-tet 4�f�,r_.•.r-� �� ���.r�,r�.._.. ...�-_..._�.- v..._._..-.� ��. �.��
'� f .. .
if1P,'i» C'AY.X� !' 1 ''S7'�X'iiCiT6�iaiaL 'RCrRM T
Ail -
�,4 `4
FORM 284-M8 411-81) 1 R:SFFCTOR
.�: in ..:_.a ..: ...:<-. n.: -..,r... ... _.r ",,.; f.: ., .hu-. � ........... .. ...T_...N ... .�{ k.� ___..;__ C.-t.Av.L .:{ .. _.. �`i .�. _._.._.:> .,. �•i -.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
! DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport. f
3
Steel
36
Inlets 8 Outlets l
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor t
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
}
i
it Exterior Lath
12 Internal Lath
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
PSL '
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
y
1 - •• t
r
STREET NAME
PERMIT APPLICATION
County of Riverside
Department ei Building and Safety
4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "D" Street 46.209 oasis SI. Rm. 310 160 N. Broadway
Riverside, CA 92501 Banning. CA 92220Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225
Ph: 787-6146 849.7312 �.� Ph: 658.4464 Ph: 657.3898 Ph: 342.8271 Ph: 9222670
This permit becomes void tl work not com:Eanced witb!P f;q days from date issuance. OR. it work has beer suspended or abandoned for a period of 180 days.
❑ 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. pleted if 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 is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
lion Laws of California.
1poll.
-"VER-BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Lawfor The
ping reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con -
ti, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such
nit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
ipter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
t therefrom and the basis for 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).):
I, aiowner of the properly. or my employees with wages as Their sole compensation, will do the work, and the
ucture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
w does not apply to an owner of property who builds or improves thereon, and who does such work himself or
trough his own employees. provided that such improvements are not intended oroffered for sale. If, however,Tie building or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
g Ihdl he dd not build or improve for the purpose of sale.)
as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Prolessions 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.)
QI am exempt under Sec. . BA P.C. (Attach Certificate).
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cerlilicale of consent to sell -insure, or a
certificate of Workers' Compensation Insurance: or a certified copy thereof (Sec. 3800, Lab. C.).
❑Certified copy is hereby furnished.
OCenilied copy is riled with the County Building Inspection Department or County Department
APPLICANT NAME If, F, MI)
ADDRESS 1 "
51870 AVE RUBIO
CITYICOM MUNITYISTATEIZIP
LA QUINTA CA 922530000
JOB SITE ADDRESSISPACE
537/40 AVE RAMIREZ
CITYICOM MUNITYISTATEIZIP
LA QUINTA CA 922330000
BOK
774
PAG
122
PRC
012
C
4
TWIN
(000
RNG
SE
00
S
TRACT LOT
000000 0013
MOD
011
SB
CAC
TRACT NAME
SCV L.AQ UNIT W2 OLK 231
OWNER NAME (L,F,MI)
3OHNSON, RICK E
PHONE q
CONTRACTOR -FIRM NAME
LICNC N
ADDRESS
CITYICOM MUN ITYISTATEIZIP
PHONE N
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC N
ADDRESS
CITYICOMMUN ITYISTATEIZIP
PLANN
P INER
APPROVE DATE
USE OF PERMIT -
.DWLG & ATT GARAGE
BLZON
Ott
R 1
FSB
02'0
SSB
O16
SSB
005
RSB
010
OFC
IN -0
ZONE ORDN
i
LOT SZ
END
t0f
0. 0
0 IS`ItDE
V 0
uale Applicant
NOTICE TO APPLICANT: It, 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:
01 hereby certify that no excavation five (5) or more feel 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) feel high. (Chap. 3.2, Grp 2. Art 2. Sec 341,
Title 8. C.A.C.).
OAS owner -builder. I will not employ anyone to do work which would require a permit from the Division of In-
dustrial Safety, as noted above. unless such person has a permit to do such work Irom the division.
❑Division of Industrial Safety Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency lot 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 Ihe,ifropertyf for which I have applied for this permit for the purpose of
making inspections.
Signat�Fe of Applicant or Agent Date
Print Applicant/Agent Name
APPL/PRMT q I PS DATE
00017 23 CIRI J/0!5/82 _t 34587
ESTIMATED PLAN KIEV FEE $181-02
r
TOTAL
FEE
'
CAC
v
NC
;MER B
COUNTER L.U.T.
�- - -- -- - ----------------- - - - - -- -- -r-
PERMIT PO STRUC TUBAL PLAN REVIEW
I'OTAL PERMIT COST IS $1S1.02
CONSTRUCTION ESTIMATE (NOTEt- Not to be used a% property
Description FCC Group Ty�a e� 3q Ft
PRIMARY DWLG 101 R-3 V_3 1450
SECNDRY PATIO 325 M V. N 220
SECNDRY PRIGAR -1436 M 'WD 412
SECNDRY AIRC ON 900 R--3 R 1450
E.st Flan Rev Fee based on Total ;l Estimated Va l l to of
FORM 284.208(11.81) INSPECTOR
�►alu�Itxanl
Rate Valuation
401$10224
78
4
$9.10
2 ..1.2.0 $3190
$48037 im t $181 .023
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
IDA
Fireplace T.O.
P'
—'-"' —
ADDITIONAL INFORMATION
`
— — — " " — — _ — — _ _ — _ _. _ — _ _ _ — _ _ —
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath .
12A Drywall
13' Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb i !.
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal _
20 Sewer •.
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire,
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
f NAME (L F fMI)
;OMpM�UNITTYISTATEE/ZIP '
0.0 IWrA
TE ADDRESSISPACE
74 W.: AVE
�OMMUNITYISTATEIZIP'
QUINTA
PAG" PRC C
LOT
p00,0• 00.13
11 p
:NAME
�}qq. '' aa��,,;``.tyy T
R NAME. L,F,MI) &�
IACTOR-FIRM'NAME
ESS
N• PHONE #'•�
t 'ARCIENG FIRM NAME
MIRE
TWN t RNSE '-,SE S:
. .:l 0 fj' 0 :t1,P1.. ..
MOD SB ! VV ..
Gri� b
PHONE#
AP.PUPRMT# j. SPS "DATE -
7 La 45 8
I ��Y'i�•s .�
PLAN #PLANS EXAMINER APPROVE DATE
y; .. .
Epri
t.U�SSE00PERMIT
nVRG 6` ..-A .TDR.. -. 4E - - -
1�. BL - ZON FSB' . SSB
`SSB 'RSB OFC:- - TOTAL
0 R:«»1 02,010J�.'i�� :.¢�A C4diD FEE '
ZONEORD# LOT SZ:"END _f 'SIDECA` CK " - NC COUNTER B.I. COUNTER L.U.T. -
Otl v Q 014 fi
:L.•.
AOL Td
01,611- -FOR.`-$TRi)�L''it,1RAt.,''�?ti:AN -R-�:VIEW
Y;oM�u. ,aapu�µjt paik3f� Yh: f(q�;�'��ayw nlP1j ,,Dep:6r:tmehls t�.4'-1Aie#lLd3 fart cdnCa�rPence BEFORE
W f o m .fir S c 6,,. 1ba i"'— Ci d. y -
'+,c,«�r
HOLO R +4iC7' 1�l X1'8 to (v��?
D' ROAD
NQLD HEALTH ME. ALTH
FORM 284 208 (11-81) 1 NSPECTOR
:.A� .Sii< -».?'_'.., a .... �,4`r.'x. ,..rt.. ,f.� .: n?r7.,:A ..:L.. w. -.. ,.n-. _� ,.., , ,....:...., - _. ,. _.. 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 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.
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Wolls (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
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME