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00022657 (RER)APPLICANT NAME (L, F, MI) , TwamPsm. .. .ADDRESS - - 1761 SAN V I CENT. ST CITY/COMMUNITY/STATE/ZIP '.LA QUIPSTA CA 922530000 JOB SITE ADDRESSISPACE rs AN VICENTE ST CITY/COMMUNITY/STATEIZIP- ' LA 'QUINTA • CA 922530000 BOK 61'! 1 PAG 301 PRC 004 C 2 TWN 0000 RNG SE 00 S TRACTLOT 000000 oaa MOO oll SB TRACT NAME LA QUINT6A GOLF 01 OyWNERROMPNAAME L�F{MII1+ �+q•{�f+ PHONE# - CONTRACTOR -FIRM NAME - LICNC p ADDRESS CITY/COMMUNITY/STATEIZIP CA 000000000 PHONE p BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME 77 p ADDRESS CITY/COMMUNITY/STATE/ZIP PLAN# i PLANS EXAMINERAPPROVE DATE USE OF PERMIT ,ADD DECK &: REMODEL: ROOF" T'f1 •DWLG .I ao ria" . 0�g 0]0 10 . aii� . Tb. oib - � • ZONEORDN LOT SZ. 00Sf6 APPLIPRMT p PS DATE /\ 0ac�22657 AEq08/09/tl2 3 TOTAL . FEE CA CKNC I COUNTER B.I. - COUNTER L.U.T. 3"99 6 APPLICATION. FOR -STRUCTURAL PERMIT T H I S I.. A.•N A R p L. 'I 'C A 'T 1 0 N 0 N L Y N'atur.e ofSitu% .Comment -- Action Taken - case Use NO INSPECTIONS UNTIL WORKMENS COMP ON FILE I r 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 & 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. 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) 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 ❑ I I CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-• PI:NMIT APPLICATION ` pleted it The permit is for one hundred ($100) or less. I certify that in The performance of the work Tor 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- County of Riverside Department of Building and Safety tion Laws of California. 4080 Lemon SI. 2nd Floor Riverside, CA 92501 135 N. Alessandro Rd. Rm. 203 Banning. CA 92220 880 N. Slate Street 227 North •'0" Street Hemet. CA 92343 Perris. CA 92370 46209 Oasis St. Rm. 310 160 N. Broadway there, CA 92201 Blythe. CA 92225 Ph: 787.6146 Ph' 849.7312 Ph. 658.4464 Ph: 657.3898 Ph. 3428271 Ph: 922.2670 This permit becomes void it work nor commenced within 140 days Irom data' of issuance. OR. it work has beer suspended or abandoned Tor a perioo of 180 days. (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- ❑ I I CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-• LICENSED CONTRACTORS DECLARATION: I hereby alfirm that I am licensed under provisions of Chapter 9 (comment- pleted it The permit is for one hundred ($100) or less. I certify that in The performance of the work Tor 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- I PAGPRC 301 tion Laws of California. ❑ Date _ Applicant OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the NOTICE TO APPLICANT: I(, after makingthis Certificate Of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code. you must lorlhwilh comply with such provisions or this permit shall be. followingreason Sec. 7031.5. Business and Professions Code: An cit or count which requires a permit to con- ( Y, Y Y q deem deemed revoked. struct. alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant t0 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- 01 hereby certify that no excavation live (5) or more feel in depth into which a person is required to descend. will empt therefrom and the basis (or the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- mit subjects the applicant to a civil penalty of not more than five hunderd Dollars ($500).): be made in connection with work authorized by this permit, and that no building structure. scaffolding. lalsework, ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the 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. ). structure is not intended or ollered for sale (Sec. 7044, Business and Professions Code: The Contractor's License OAS owner -builder. I will not employ anyone to do work which would require from Division In Law does not apply 10 an owner of property who builds or improves Thereon, and who does such work himself or a permit the of - dustrial Safety, as noted above. unless such person has a permit to do such work Tom the division. through his own employees, provided that such improvements are not intended or offered for sale. 11, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- in Th I h it'd b 'IdI h ❑Division of industrial Safety Permit No. g a e I no uI or Improve or I e purpose o sale.) ❑I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con. tractor's License Law.) ❑I am exempt under Sec. , BA P.C. (Attach Certificate). Dale Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate 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. ❑Certilied copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F. MI) THOMPSON JACK ADDRESS 48761 SAN VICENTE ST L AcDt�l I���AZIP CA 922x30000 JOB Sj, E D RESSISPACE 423/, SAM VIC ELATE ST CITYICOM MUNITYISTATEIZIP LA WUINTA CA 922:530000 BOK 617 I PAGPRC 301 004 C 2 TWIN Caaa RING 00 S 000000 0009 ux 1 BB CA TRACT NAME LA QUINTA GOLF 41 Q1.^{r'i,ERIyA E,,I.�IR, ;TACK PHONEN CONTRACTOR -FIRM NAME LICNC N ADDRESS CITYICOMMUN ITYISTATE/ZIP CA 000000000 PHONE N BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC p ADDRESS CITYICOMMUNITYISTATEIZI P PLAN 11SU P EX I APP OVE�r�a�'TE 7 USE OF PERMIT ADD DECK b REMODEL ROOF TO DWLG 00 R1N 01.30 Oils 1005 10TO I IIIND ZONE ORD N LOT SZ END a SIDE CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor- mance of the work for which this permit is issued (Sec. 3097. Civ. C.). Lender's Name Lender's Address I CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and stale that the inlormalion given is correct,. I agree to comply with all state laws and county ordinances relating to building consfiuction, and authorize a representative of the County of Riverside. Department of Building and Safety to enteruponthe property for hick I have applied for this permit for the purpose of mak Inspections. t Signature i-pplicant or Agent / Dale iff Print Applicant/Agent Name APP ,0 2 p PS DATE 39774 aaa�t657 C8 07i27r02 EST14ATED PLAN REV FEE $36.72 TOTAL FEE 36 `� CA CK, X NC COUNTER B.I. % .. COUNTER L.U.T. PERMIT FOR STRUCTURAL. PLAN REVIEW TOTAL PERMIT COST I6 $36.72 Nature of Situs Comment — ------- Action,. Taken ...__--_---- Case Use tato NO INSPECTIONS UNTIL WORKMENS COMP ON FILE CONSTRUCTION ESTIMATE (NOTE, Not to be used as property Valuation) Description FCC Group Type Sq Ft Rate Valuation PRIMARY MISC M M 600 $10.00 $6000 est Plan Rey Fee. based on Totaol Estimated Val°tn of $6000 is; $36.72 0 FORM284.208(11.81) (i'rlw.F�r[ O 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 IDA 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 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 rtmmiI AYYLILAIIUN County of Riverside Department of Building and Safety 4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Am. 203 880 N. Slate Street 227 North "D" Street 46-209 Oasis SL Am. 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: 3428271 Ph: 922.2670 This permit becomes void it work not commenced within 180 days from date of 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 n(4 be com- LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions ol.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 lull farce and effect. permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Corrpensa- tion Laws dl California. ❑ , Date Applicant _ l_ OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the NOTICE TO APPLICANT: If, 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 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 LATNAME QUINTA fy�•CllF #A . permit to life 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- hereby certify That no excavation five (5) or more feet in depth into which a person is required to descend. will empt empt therefrom and the basis for the alleged exemption.. Any violation of Section 7031.5 any applicant for aper- mit subjects the applicant to a civil penally of not more Than five hunderd dollars ($5000)).): be made in connection with work authorized by this permit. and that no building structure, scaffolding, falsework. PHONE N or demolition Or dismantling thereof, will be more than thirty-six (36) feel high. (Chap. 3.2, Grp 2. Art 2. Sec 341, ❑ I, as owner of the property, or my employees with wages as their sole compensation. will do the work, and the Title 8. C.A.C.). - , structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License OAS 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 dusirial Safety. as noted above. unless such person has a permit 10 do such work from the division. through his own employees, provided that such improvements are not intended or offered for sale. II, however, .APPROVE DATE ' the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- ❑Division of Industrial Safety Permit No. Ing that he did not build or improve for the purpose of sale.) i7 i:. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. CONSTRUCTION LENDING AGENCY: I herebyaffirm 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 Con- Lender's Name, tractor's License Law.) - Lender's Address ❑I am exempt under Sec. . 8.8 P.C. (Attach Certificate). Date Owner CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate �„SIDr 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 self -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 property for which I have applied for this permit for the purpose of making inspections. , oeenter ❑Cerlified 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 IL, F, MB THOMPSON JACK 48761 SAN VICENTE UT CITYICOMMUNITYISTATE/ZIP LA QUINTA CA 922530000 JOB SUS 6 REBS/SPACE SAN VICENTE- 3T LA°OQui I �21P CA 9'2253©000 BOK" 6171301 PAGPRC 004 C e? TWIN - 0000 PING SE 00 S 000000 0009 1 ©h I SB LATNAME QUINTA fy�•CllF #A . 1 PEOR, JACK g115 PHONE N CONTRACTOR -FIRM NAME LICNC N ADDRESS CITYICOMMUNITY/STATE/ZIP CA 000000000 0000A000 4Y PHONE N BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME - LICNC N ADDRESS CITY/COM MUNITYISTATEIZIP PLAN N , PLANS EXAMINER .APPROVE DATE ' USE O PERMIT AD DECK & REMODEL ROOF TODWLC HL 0 R VN i7 i:. l/ V. VS SG o V W ,{STO 9 §) 4 ZONEORDN LOT SZ END �„SIDr APPLIPRMT N PS - DATE 39771 ^ 7 1 C00022657XB{�%aIc?.7✓$,<�. ,V•(1 `Jj 1!/ SI/7 TOTAL . FEE CA CK : NC I COUNTER B.I. COUNTER L.U.T. F1 11 1 APPLICATION FOR STRUCTURAL. PLAN REVIEW397111 T H I S 1*3 A N A P P L I C A T 1 0 N p N L. Y Nature of Situs Comment Ai*tlon Taken Case Use No NO INSPECTIONS INSPE.C:TIONS UNTIL WOFtMIN a COMP ON FILE >_ FORM 284.208(11.81) ASSESSOR APPLICANT NAME (L; F, MI) THOMPSON SACK 8761 SAN V I CENTEK ST CITYICOMMUNITYISTATEIZIP LA UINTA G CA 922530000 ,,. t JOB_ 4DpRESSISPACE t SAN VICENTE ST �CIYYT'Y�ICOMGMjjUNI IS ATEIZIP ' ' L A b4U Pd�A CA 922530000 ' BOK PAG PRCC TWN 6173qA 00412 0000 RNG SE S 00 TRACT LOT O SB 000000 0009 Int ? LATNTRAC�VTNTA G LF 01 �E W @•0 -J•AC K PHONEp - j CONTRACTOR -FIRM NAME LICNC k :ADDRESS y, -' �'CITYICOMMUNITYISTATEIZIP CA n V 1_ 'PHONE # BLDG. INSPECTOR FINAL DATE 'ARCIENG FIRM NAME • LICNC # ADDRESS .i CITYICOMMUNITYISTATEIZIP PLAN q PLANS EXAMINER APPROVE DATE i USO PERMIT Gd��J DECK 1k REMODEL ROOF TO DWLIG BL 00 RfN 02b 0U,0u M I .. 1FAD ZONE ORD # - LOT SZ END- 0 p `M 1 APPLIPRMT 0 PS DATE 006226 7' X� O'1'i'��/C3R' 39773 1 TOTAL . FEE CA I CK • NC COUNTER B.I. COUNTER L.U.T. 1 APPLICATION FOR STRUCTURAL PLAN REVIEW 0. T M I S 'S A N,. A P 4' L X C A i 1 0 N1 ! L Y' N ture of Siwe Comment w ------- -Action 'Taken— --�-...- Case -Use No ,;'NO INSPECTIONS UNTXL WCfRKMENS COMP ON FILE ~� P 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 IDA Fireplace T. 0. ❑ No 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