34788 (BLCK)f -APPLICANT NAME(L, F, M1
' TOUW , KEN DAVID
ADDRESS
70620 BU TTL.EPRU H
CITYICOM MUNITYISTATEIZIP
LA WU1N'TA CA 922530000
JOB SITE ADDRESS/SPACE
78620 BOT`i'LEBRUSH
CITY.ICOMMUN ITYISTATEIZIP
LA QUINTA CA 922530000
BOK
61
PAG
381
PRC
039
C
2
TWN
d
RNG
000
SE
00
S.
TRACT LOTMOD
000000 0039
011
S8
TRACT NAME
DLOErRT CLUB MANOR 01
OWNER NAME(L,F,MI(
TOUW, KEN ?DAVID
PHONE #
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITY/STATEIZIP Q i
PHONE p BLDG.
SP O
FIN L DATE -
ARCIENG FIRM NAME -
L NC #
ADDRESS
CITY/COM MUN ITYISTATEIZIP
PLAN N PLANS
EXAMINER
APPROVE DATE
USE OF PERMIT
AlUD 6Xi 00 GARDEN WALL.
BL ZON FSB
00 Rl
SSB
000
SSB
000
RSB
000
OFC -
INA
ZONE ORD #
LOT SZ
END
/y SIDE
V000
APPLIPRMT 4
0001SZ58
PSDATE
P7 (iJlx;3/o -
^ ^
j8.( Ij8
ADD 6X100
GARDEN WAL
�p
•
6 7
TOTAL .
FEE
$ao .5
CA
CK -
NC
COUNTEPJB.I�
COUNTER L.U.T.
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1 3478814 C�
P E R M I T FOR. ADD 6X100 GARDEN WAL
TOTAL PERMIT COST IS
,AbD 6XI00 GARDEN WAL $20.50
FORM 284.208(11-Btj� INSPECTOR
U
t
FORM 284.208(11-Btj� INSPECTOR
U
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
_
33
Ventilation Syst
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 i
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. E]
43
Final
10A
Fireplace T. 0.
P'
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 (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING A PRO ALS
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 1k
1
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
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
INSPECTION
REQUESTED
ADDRESS I SPACE N0. FOR:
/ ! I
A.M.
OWNER COMMUNITY
�� ,/I ••,,
BUILDING PLUMBING ELECTRICAL MECHANICAL
Mi??J
TUES
WED
REMARKS:
i � r O TMUR
FRI
OWNER/CONTRACTOR TEL.NO.
28146 11/75
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