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00009723 (RPL)
APPLICANT NAME(L, F, MI) -CUSTOM ADDRESS 81519 DE ORO DR CITY/COMMUNITY/STATE/ZIP INDIO CA 1922010000 JOB SITE 1SITE_ADDFESS/SPACE SARI ISIDRO CIT! Y/cOMMMMUUNITY/STATE/ZIP LA QUINTA CA 922530000 SOK 61 PAG PRC I 229 02 1 TWN I RNG 1000 5E 0I S TRACT a00oa LOT oa5 MOD 01 SB TRACT NAME LA QUINTA GOLF TESTS 41 0V%E 01gjgjI, GLEN C01.+T►JgY6; NFUVLS BY D & J ADES B1 �19 DE ORO DR CIT1' COMMUNITY/STATE/ZI P INDIO C:922010000 PHONE 6 714-347-79! rynly LIC400041 nnA ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE N LICNC N USE OF PERMIT 14X30 SWIM POOL 6 ;SPA BL a ZON R_ FSB SSB SSE! RSB 02 01 01 01 ► OFC IN ZONE ORD N LOT SZ END SIDE t 0000 ru POOL CSJP11 APPL/PRMT N PS DATE COHSTRUCTIUM FEE FEE $14; QED —PLUMBING ELECTRICAL FEE 1-- t13.00 PLAN CHECK $52.32 SMI FEE: Aso .67 STRUCTURAL C BUILDING ) PERMIT TOTAL FEE -I- CA, - STRUCTURALL ( BUILDING ) P E R M I T TOTAL PERMIT COST IS $160.4? CONSTRUCTION ESTIMATE (NOTEr Not to be used as property valuation) Description FCC Group Type PRIMARY MISC: Sq Ft Rate Valuation 0000 M M Construction Fee booed on Total Actual Valuation 960 $10.00 of $9600 i%s $9600 $90.50 ELECTRICAL FEE COM4PUTATION13 a 0 of Permits, 1 at $3.00 Each FEEr Asa, 00 SWIMMING POOL -Privates Y Commercial r H Service Chan a R/Cl t FEES $10.00 ' PLUMBING FEE: COMPUTATIONS *** 0 of Per "J I s r 1 at$4 . �0 Each FE.E s $4 0 ; FIX0 Drinking 1 , ofuWaSterraHeatersus 1 fFbrai.nuaon iRooftC�001nr F'E.Et $2.50 GAS PIPING SYSTEM-- 1 to 5 Outletsi l 6 or More (jut;l&ts: a FEES +►2.50 Instaliatian of Water piping and/or WaTer IIM I FEE Treatment Eclollsil FEEj $2.50 PLAM CHECK $0.67 $52.32 0 FORM 284-208 (2/81) 3WVN 133211S 1/d 1/d 3N11 A1213dOdd JO HV38 N0I1VJ01 '8 3ZIS W31SAS 30VM3S `2Z -0-e -Z �toJ 1�yz NOI1VW2103N1 1V40111aaV Ndo loud EY POOH lonJawwOD Zq aa!nad u0ip34a4 aslowS lV jadwod anj Oq aDuoJoal:) •lddV 6£ jossaidwoD BE jiV uo!tsngwoD L£ syalyn0 8 syalul 9£ -podwOD aDDwnj SE _n4 g swnuald 7£ walsAg uogol!yu@�A EE S1VAOdddV 1V71NVH73W i101J3dSNl F 31VO NOI1VN3dO ON loud ZE aD!AJaS £ sajnyxy 06 6wpuog 96Z Zaj!M 6wpuno,0 V6Z J � 6u!"m 6Z uoJlu3 BD!AJaS 8Z 1 / j!npu0D alod 1amod t S1VAOHddV 1V7Ib1J313 "0 L lou!d 56 U ysal socj qZ a AlaS layoM EZ ,auay)OS ay.M 6Z layoaH IayoM lZ ,aN s OZ losodsid a6o aS 6l syuaA 8l gwnld y6no8 Ll 6wd!d JaloM 9l gwnld PuniO S1 SIVAOaddfV ONiawn1d loud 4l (uN.ol9) 6wliaD DZl (14409) 6w1iaD 9Z l k L1o9) s11-M VL anloA _8 'I3!41 NOI1V1fISNl -polo gs!uy El (Io:nA'4 VZl 4+01 I':L' JUl - ---- 61 4411 1011a4-3 IL —� ,0.1 aD.IIanj 1 d a'ol'AG,,j Vol Ol 2— Z Ijam a,i-{ acciu0 4u.A 6wuio, j slaa4 IooN was 3 puo0 6 8 z 9 S sho19 laalS E f -.�I 7- Z iae'�7-7; apO'J golS sw,j V s64j VZ z `T l SWAOS&M JNlallna dOiDgdSNl 31V4 I NOUV81 dO 'ON - _Z� -7. — . 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" . r, iW �_ : � , e � , - - �, ., . , , , I A .V� e', _ 1, : I'.- v! 1 1 1, �� � �, , ,��,,., , � 4,� �,-, , � . . , sy,m,", , - ,_ . , - ....... Anvo , - �" , , - 1,�iI� �, �, ,,- ,� . , �," low, I � � I , - __ , , - , ,� !�, �,�� , '111 i�� , - � * 7:�, �h�s,,_, �, , irI� t1i ________7 �� : � : ps; � �. - -- ____ ! � , ,-;*"�', .i�,�,;,�_� I I � , , I I � � I ' __ I � � i � MMU7TT77-7-11, d � ---T----T- � � i � � : I � APPLICANT NAME (L, F. MI) 0 10 5 4 5 £9 i s o va T:lu o 7)j. CITY/COMMMUNITY/STATE/ZIP__ bjDW "F 922010000 JOB SITE ADDRESS/SPACE n.. 46801. . 18ING CITY/C�/rO�MM�UyNITYr STT1ATE/ZIP - {y py (� L.A 411U TA .; . CA , 'lop-2"5200do BOKPAG.,, PRC OP. C' TWN PING Moo SE S TRACT, LOT MOD SB TRACT NAME ' LA Qux4TA"1G(3LF IESTS 161 ow doutil) CONAME CUSTION Y''.00L..s Wil V_ .iil- .4 ADDRESS -81519 D ORO DR CITY/COMMUNITY/STATE/ZIP Y/N110 - . WW 9.d!0010000 .d!00100VV PHONE pLICNC # 4 0041 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE'# LICNC # USE OF PERMIT �n4.{�. t�,� �y r� ' -1,0'30 �?W4ti�`4 000L 8P'A BL n ZON ftp. TOTAL . t FEE F SSB Q2 01 SSB 01111 RSB 01 OFC ZONE ORD # .LOT SZ END SIDE 00 APPUPRMT pPS DATE IA ll_ 0 10 5 4 5 i. i . Y'ii'i.AY.di;NA { )V i►" W S..T?tUC.TUTSA.L_ Mi -8..T TOTAL . t FEE INSPECTOR S COPY 0.1. 0 5 4 . F� _ . ia��i���«.�o�,�i�t'.cu','r�.,�':�i�' �t�r�Q.i��t�i�%iR. �'�,�ti���.`• �� .. t 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.O. OW O. 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 P/L 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 STREET NAME 0 0 8 3 9 3 County of Riverside r. Department of Building and Safety 1 4080 Lemon S1. 2nd'Roor 135 N. Alessandro Rd. Rm. 203 860 N. Stale Street 227 North "0" Street 46209 Oasis SI. 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: 6564464 Ph: 657-3898 Ph: 342.8271 Ph: 922-2670 This permit becomes void if 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 if 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. 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' Compensation Laws of California. License Class Lic. Number Date 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 1 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. •reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct. alter, deemed revoked. 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 (commencingI hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend, will be ' with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for made in connection with work authorized by this permit• and that no building structure, scaffolding, falsework• or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, penalty of not more than five hundred dollars ($500).): C.A.C.) X�M 1• as owner of the property, or my employees with wages as their sole compensation, will do the work, and the As owner -builder, I will not employ anyone to do workj4hi(;h would require a permit from the Division of Industrial Re s ructure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law ety, as noted above, unless such person has p! it to do such work from that division. 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. %i r�-� r his own employees, provided that such improvements are not intended or offered for sale. 11, however• the building or Date' .+�• 1r Applicant improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build improve for ;'/ ) CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the or the purpose of sale.). ' performance of the work for which this permit is issued (Sec. 3097. Civ. C.). 1,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, PLender's Name usiness and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or 1 improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors Lender's Address ,License Law.).I e % Z 1 certify 6K 1 I have read this application and state that the above information is correct. I agree to comply with all laws n I am exempt under Sec. , B. 8 P.C. (Attach Certificate), city an' c'66nty ordinances and state relating to building construction, and hereby authorize representatives of 1. / = �, % 1 this county to'lenter upon the above-mentioned property for inspection purposes. Dale Owner r - - - USE OF PE)3bd1T _ . WORKERS' COMPENSATION DECLARATION: I hereby aeffirm that I have a certificate of consent to sell -insure, or a'•' Signature of Applicant or Agent Date ' certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800• Lab. C.). CER IFICATE OF�COMPUANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the Policy No. Company inform ation given is correct. I agree to comply with all slate laws and county ordinances relating to building con- . is furnished. struction,rand,authorize a representative.of the County of Riverside, Department of Building and Safety to enter upon the propehrl.happlied forhiifor rty for whic:ave ppethis permit a inspections. purpose of making r �_ Certified copy hereby _ / X;. � r•_ . _� Certified copy is filed with'the County Building Inspection Department or County - Department. Signatureof Applicant or Agent 1- ' -Date . - r• '9, ! (, Date Applicant Print Applicant/Agent Name APPL,IGANT NAME (L, F. MI)~ 0 0 8 3 9 3 ADDRESS_ ,,'•w.•- ... rr CITY/COMMUNITY/S.,ATE/ZIP'— r JOB- ITtE- OrrD..++R��ESS/SPACE CITY/COMMUNITY/STAT /ZIP'`-"`-�� A BOK PAGPRC C - TWN PING SE S 1 >wr TOTALS, FEE TRACT - LOT MOD SB 4 !• TRACT NAME OWNER NAME (L, F. MI) v r- 1 CONTRACTOR -FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE q LICNC rr ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE If LICNC 4 USE OF PE)3bd1T _ . ,r .P' o F BL FSB SSB SSB RSB OFC 1ZON 4J' ZONE ORD a LOT SZ END SIDE APPUPRMTn - PS DATE 0 0 8 3 9 3 1 >wr TOTALS, FEE IlVarcl.I VK a k—vrT 008-- 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 B 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. Ci. °o 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 ELECTRICAL APPROVALS P/L 71: ' P/ - 26 Power Pole 27 Conduit Q :q/ ID 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME