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ARC/ENG F(RM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE #
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OW996594 I XB 11 Dlawmi 1001909
APPLICATION FOR STRUCTURAL PLAN REVtE4
TOTAL
FEE
IS
16
17
18
19
20
21
22
23
24
25
26
27
28
29
29A
298
30
31
32
ravnsaanw
Ground Plumb
Water Piping _
Rough Plumb
Vents
Sewage Disposal
Sewer
Water Heater
Water Softener
Water Service
Gas Test
Final SEWAGE SYSTEM SIZE & LOCATION
ELECTRICAL•APPROVALS REAR OF PROPERTY LINE
Power Pole
Conduit
Service Entrance
Wiring
Grounding Wire P/L P/L
Bonding
Fixtures
Service
Final
STREET NAME
/ 001909
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
10A
Fireplace T. 0.
ADDITIONAL INFORMATION
NO
11
Exterior lath
12
Internal Loth
12A
Drywall
13
Finish Grade
INSULATION
Thick R
Value
7A
Walls (Botts)
128
Ceiling (Batts)
12C
Ceiling (Blown)
14
1 Final
1r }
4080 Lemon St. 2nd Floor 4
Riverside. CA 92501
Ph: 787-6146
f Cllmll X�r LIYXIIYI�
County of Riverside
Department of Building and Safety
135 N. Alessandro Rd. Rm. 203 .880 N. State Street
Banning, CA 92220 Hemet, CA 92343
Ph: 849.7312 _ Ph: 658-4464
This permit becomes void if work not commenced within 180 days from date of issuance, OR, if work has
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing �.
with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect., X
+License Class Lic. Number
Date Contractor
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the following
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
signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing
With Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for
'the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars (SSDO).):
0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
structure is not intended or offered for sale (Sec. 7044: Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who does such work himself or through
his own employees, provided that such improvements are not intended or offered for sale., IL however, the building or
improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not
build or improve for the purpose of sale.). _
PuI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,
siness 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 Contractor's
License. Law.).
1 am exempt under Sec.
Date Owner
B. & P.C. (Attach Certificate)
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. Q. .
Policy No.
Company
Certified copy is hereby furnished.
Certified copy is tiled with'the County Building Inspection Department or County Department.
Applicant
227 North "D" Street 46209 Oasis St. Rm. 310 160 N. Broadway
Perris, CA 92370 Indio. CA 92201 Blythe, CA 92225
Ph: 657.3896 Ph: 342-8271 Ph: 922-2670
been suspended or abandoned for a period of 180 days. -
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the
permit is for one hundred ($700) 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.
Applicant
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
deemed revoked.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
I hereby certify that no excavation five (5) or more feet 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) feet high. (Chap 3.2, Grp 2. Art 2. Sec 341, Title 8,
C.A.C.)
RaAs owner -builder. I will not employ anyone to do work which would require a permit from the Division of Industrial
ety, as noted above, unless such person has a permit to do such work from that division.
n Division of Industrial Safety Permit No.
Date Applicant
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of
the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name -
Lender's Address
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives of
this county to enter upon the above-mentioned property for inspection purposes.
Signature of Applicant or Agent Date
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 slate laws and county ordinances relating to building con-
struction„and authorize a representative of the County of Riverside. Department of Building and Safety to enter upon
the property for which. I,have,applied for this permit for the purpose of making inspections.
•.^• :„t-Sighajture of Applicant or Agent 7�/ - — ;, oaa(e-
g r ,4,,,.r� • r ia:-i J `•- ' 4
Prinf Applica6ttlAdent Name ,
APPLICANT NAME lL. F MI)
.i� w
kS 163!
wAtwulftwRt CA 922600000
IsTo 1�pRESS/SPACE AVIS ,pUAREZ
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922530000
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FlAtfrulocwt CA 922600080
M-064-19481
I
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE M
PERMIT FOR STRUCTURAL PLAIN
LICNC X
' ; J TOTAL
FEE
y�
98 ATT GR
AI
#,T
d2o
no
01-6
010
rfn
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0
Pio 4 1 10/2 el
CBTIMA TED PLAN REV FEE
0 019 21
*145,f2
PERMIT FOR STRUCTURAL PLAIN
REVIEW
' ; J TOTAL
FEE
,
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
29A
29B
30
31
32
FLvnrOnw Mrri\V rMLJ
r
Ground Plumb
Water Piping
Rough Plumb
Vents
Sewage Disposal
Sewer
Water Heater
Water Softener
Water Service
Gas Test
Final SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
Power Pole
Conduit
Service Entrance
Wiring
Grounding Wire P/L P/L
Bonding
Fixtures
Service
Final
STREET NAME
00.19PLAN RE 12W
25
CONSTRUG ION CGTIMATE (NOTEi Not to be: users as properly valuation�
Description `FCC Stoup TVpe Ski FT tate Valuation
PRIMARY DWLG '0001 R-3 V -W C 11.2
Est PIan Rev Fee based , on ' i'atal Estimated VAS,' tA 'of ' 136330 Xv $1.415, 92
�J�a� �tr•� ♦f�_ia�p
FORM 28,
NO. I OPERATION I DATE
BUILDING APPROVALS
1
Set Back
7A Walls (Botts)
2
Ftgs 8 Frms
2A
Slab Grade
3
Steel
4
Grout Blocks
5
Bond Beams
6
Roof Deck
7
Framing
8
Vents
9
Garage Fire Wall
10
Fireplace P. L.
E]
10A
Fireplace T.O.
11
Exterior Lath
12
Internal Lath
12A
Drywall
13
1 Finish Grade
INSPECTOR
INSULATION
Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 1Final
NO. OPERATION DATE
MECHANICAL APPROVALS
33 Ventilation System
34 Plenums 6 Ducts
35 Furnace Comport.
36 Inlets 8 Outlets
37 Combustion Air
38 Compressor
39 Appl. Clearance
40 Fire Damper
41 Smoke Detection Device
42 Commercial Hood
43 Final
NON
NO. ADDITIONAL INFORMATION
INSPECTOR
_111,r rtlltnll ArrLit;AIIUR
s County
of Riverside
•e De3artment of
Building and Safety
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Ran. 203 880 N. St.le Street
_ 227 North "D" Street 46-209 Oasis SI. Rm. 310 160 N. Broadway
Riverside, CA 92501 Banning, CA 92220 Hemel, Cr 92343
a Perris. CA 92370 Indio, CA 92201 Blythe, CA 92225
Ph: 787-6146 Ph: 849-7312 Ph: 658-4364
R Ph: 657.3898 Ph: 342-8271 Ph: 922-2670
This permit becomes void if work not commenced within 180 days from date of issuan:e. ORt, ii 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 ( ommencing
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 (S100) or less. I certify that in the performance of the work for which this permit is issued. I
pq
1
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: It. 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 t ie 'allowing
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 con:truct, 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 (commencing
F] I 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 he basis for
the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicait to a civil
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) feet high. (Chap 3.2. Grp 2. Art 2, Sec 341, Title 8.
penalty of not more than five hundred dollars (S500).):
C.A.C.)
I, as owner o1 the property, or my employees with wages as their sole compensation, will do the wuk, and the
As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial
sTructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law
a ety, as noted above, unless such person has a permit 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.
his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or
Date Applicant
improvement is sold within one year of completion, the owner -builder will have the burden of proving 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
the work for which this permit is issued (Sec. 3097. Civ. Q.
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044.
0a
Lender's Name
usiness and Professions Code: The Contractor's License Law does not pi Y to an owner of property who builds or
ZONE ORD a
improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
Lender's Address
License Law.).
I certify that I have read this application and slate that the above information is correct. I agree to comply with all
1 am exempt under Sec. , B. 8 P.C. (Attach-ertificate).
city and county ordinances and state laws relating to building construction, and hereby authorize representatives of
this county to enter upon the above-mentioned property for inspection purposes.
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -is sure. 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
Policy No. Company
information given is correct. I agree to comply with all state laws and county ordinances relating to building con-
❑ Certified copy is hereby furnished.
struction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon
the property for which.' have applied for this permit for the purpose of making inspections.
O Certified copy is filed with'the County Building Inspection Department or County Mpartment.
Signature of Applicant or Agent Date
Date Applicant
Print Applicant/Agent Name Y -
FORM 284-208 (2/811
4*904594 X9 i o nem, 001909
VMS 16:30
i'ft VVuW=T CA 922600000
.IEt.%"VRESS/SPACE
�{�Yii. �1 �t7 iC7 iAi �fw
A�Y'L" +tltiAREZmay
t T COh►�L.�JIf /ZIP +yhph
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AfWJf4?J"ftl Nf° E)RN
VVINs 16:38
PrA121!"t,l MRM CA 922600000
7`1''x#'-568-10413
T."436
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE M
LICNC It
M91j,pF M ATT GR
lo
I
in
(120
0101018`510101
V0
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FORM 284-208 (2/811
4*904594 X9 i o nem, 001909
fi
APPLICATION FOR STRUCTUR P AN nCVIE
U.S. CENSUS COPY TOTAL
FEE
APPLICATION FOR STRUCTURAL PLAN REVIEW
00 09
THIS x5 AN AP P1,ICAT10N 0 N L Y
�o-,, 9. /
rtrlmll NrruGNflun
County
of Riverside
Department of
Building and Safety
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Stat: Street
227 North "D" Street 46.209 Oasis St. Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning. CA 92220 Hemet, CA 92343Perris.
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 if work not commenced within 180 days from date of issuance. OR, f'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 7nll hl Division 3 o1 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 o1 the work for which this permit is issued. I
0
shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California.
License C ass Lic. Number
Tbg J(AM19S BCV LAQ 19
i°`LT.1AME#f,gtRT
Dale Contractor
Date Applicant
NOTICE TO APPLICANT: IL 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.
reasom(Sec17031.5, Business and Professions Code: Any city or county which requires a permit to construct, atter,
`jmprove, 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'& is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing
C] I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be
with Sectlon•1d00) 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 thapl flute hundred dollars (5500).):
rproperty,
C.A.C.)
r I, as ownef of the or my employees with wages as their sole compensation, will do the wor(, and the
s ucturels not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law
❑ 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 permit 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
C] Division of Industrial Safety Permit No.
his own employees, provided that such improvements are not intended or offered for sale. If, however, the tuilding or
Date Applicant
improvement is sold�inM4'e year of completion, the owner -builder will have the burden of proving that ie did not
6TO
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
the 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 (6ec. 7044.
- bender's Name
usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or
LOT SZ
improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
Lender's Address
License Law.).
I certily that I have read this application and state that the above information is correct. I agree to comply with all
I am exempt under Sec. , B. 8 P.C. (Attach C:rtificate).
city and county ordinances and state laws relating to building construction, and hereby authorize representatives of
this county to enter upon the above-mentioned property for inspection purposes'
Date Owner
_
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
Policy No. Company
information given is correct. I agree to comply with at stale aws and county ordinances relating to building con-
C] Certified copy is hereby furnished.
struction, and authorize a representative of the County of Riverside, Department of Building and Safely to enter upon
the property for which.l have applied for this permit for the purpose of making inspections.
0 Certified copy is filed with'the County Building Inspection Department or County Department.
Signature of Applicant or Agent Date
Date Applicant
Print Applicant/Agent Name
Vr'71iNOUL. WDRN
ADDRESS
BOX 1638
CIT
PAVil'iuNDESE.l�IT CA 922640400
/��Sp•PACE
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DEVELOPMENT C
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rANUME0 CA 922600000
Whm- 568-1448
1 :436
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE p
LICNC N
UR ORM& ATT CR
W4
401
414
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6TO
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SIDE4
TeMS94 0 0 2My'31 001909
APPLICATION FOR STRUCTURAL PLAN REVIEW
ASSESSOR COPY TOTAL
FEE
00190q
APPLICATION FOR STRUCTURAL FLAN REVIEW
T N I S I S A N A P P L I C A T 1 O N O N Y
A&'7?t
�3 Q�
,(2/81)
APPLICANT N (L, F. MI)
-DANA
IAME
WI� 1638
CIpAltjWNI7/fg ,r ., CA 92260 1000
XjS j��QY�ESS/SPACE AVE JUAREZ
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"p "I' 6i:OA
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ARC/ENiG�FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE #
LICNC N
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APPUPRMT qw 94, PS DATE p 112 3 1
APPLICATION FOR STRUCTURAL. PER"l '
TOTAL
FEE
NSPECTOR'S COPY
26
27
28
29
29A
29B
30
31
32
Power Pole
Conduit'
Service Entrance
Wiring
Grounding Wire
Bonding
Fixtures
Service
Final
SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L P/1
STREET NAME
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
26
27
28
29
29A
29B
30
31
32
Power Pole
Conduit'
Service Entrance
Wiring
Grounding Wire
Bonding
Fixtures
Service
Final
SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L P/1
STREET NAME
0 12'APPLICATION FOR STROOTURAL PONT,3
1
ell
1 1
's1 <f' ,.
r
y
1
h
1 `
c..
FORM 284-208 (2%81) ,. _
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
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.
°o
ADDITIONAL INFORMATION
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
1 Final
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ARC/ENG FIRM NAME
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CITY/COMMUNITY/STATE/ZIP
PHONE N
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TOTAL
�� 3 ��•$i FEE
IN,WtGIVK•J WFY
26
Power Pole
rwmvnw �rrnv �r.a
15
Ground Plumb
16
Water Piping
17
Rough Plumb
18
Vents
19
Sewage Disposal
—tL
20
Sewer
21
Water Heater
22
Water Softener
23
Water Service
24
Gas Test
25
Final
ELECTRICAL APPROVALS
26
Power Pole
27
Conduit
28
Service Entrance
' 29
Wiring
29A
Grounding Wire
29B
Bonding
30
Fixtures
31
Service
32
Final
SEWAGE SYSTEM SIZE & LOCATION
REAR OF PROPERTY LINE
STREET NAME
STRUCTURAL < BUILDING ) PERMIT
TOTAL PERMIT COST IS •310.26
CONSTRUCTION ESTIMATE
Description
PRIMARY OWLG
(NOTEi
FC
0001
N t to be
Group
R--3
used
Typa
V�-Y
as prop r#y
It ?t
121!
ualuatien)
!!a#e Valuation
♦27.68
$33423
;.; SECNDRY PRIGAR
- SECNDRY AIRfON
Construction ee based
0012, M
0021 R-3
on Total Actual
y�D 320
�t ! 1 !
Valuation v
$9. 0
•
t3 ist
•29 2
1�26F4
• 33.58
MECHANICAL FEE COMPUTATIONS * 0 of Permitst I at 43,08 Each
FEEL
$3.pp00
VENTwwF nsi00 Ejap Cool r 00 Hlod 01 01htrt0rtOAsct00
APPLIANMa O� 0 ?ryer
I
.t1S
nsta anon t a air y �the
COMPRESSOR -0-3 HP t 01 }3-15!30 30 > 13--30 08 >30-50100 ?50100
FBE 1
•4.00
HCATINU SYSTEKwa1--100 001 BTUi01 100,001 or More STU100
FEE#
M.Oi
ELECTRICAL FEE COMPUTAT�CIN * 0 of Perritst ! at ♦3.0p Each
Sruc: 6 A"V/volt
F i
Fitt
♦ .p
8�
XWT Unitst 0 An /Volt i of t 0
+0 .
ADD'L FEE: 1211 Sq. t. Residence R .0075 Per Sq. Ft.
FEEa
$1 .14
32^^0 Sqq, Ft. Garay 1! .0125 Per- Sq. Ft.
PUj TI Sit
FEE:
FEEL
02.40
MMgg N�
PL IX UR *Drinkirft$$Pfrnitsr 0 1 a 7�4, Mach,
$4.80
t;%4CO
Water Softnert 0 Washer (Auto/Dish)t 1 Garbage Dispi i
Kitchen Sinks ! Laundr Trays 0 Urinals 0 Wir Closett 2
Lavatory: Showert Tubt 1 Di t 0 Other: 0
Put Sewa vspslil
F t
a TankiO t1� Pitto
F t
#
Installation of Water Piping and/or Water Treatment Equipit
FEET
♦2.58
SMI FEE
$2.72
FORM 284208 (2/81)
NO.
OPERATION
-�;W
INSPE ;rnR NO.
OPERATION
DATE
INSPECTOR
t.3r 13 • Finish Grade
BUILDING APPROVALS
7A Walls (Batts) / d
I 128 Ceiling (Batts)
12C Ceiling (Blown)
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
-
2
Ftgs 8 Frms
— Z
34
Plenums & Ducts
-3 -
2A
Slab Grade
35
Furnace Comport.
3
Steel ,`� ��
T
��
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
G�
6
Roof Deck
—2-94
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents3
Y c•c_
41
Smoke Detection Device
9
Gniagr, Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
n
No I ADDITIONAL INFORMATION _
C6
d Per
11 Exterior Loth— ` •
---
12 Inteingl Lath
12A Drywall
t.3r 13 • Finish Grade
INSULATION Thick R
Value
7A Walls (Batts) / d
I 128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final 3
ae
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APPLICATION FOR TREE PLANTING
I (we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees are required under River-
side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspection
will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the prop-
erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of
Riverside shall assume no responsibility should trees have to be removed due to lot line errors. ,qy /
Owners Name Palm Desert Dev. Co. Building Permit No. o/ 2-3
Mailing Address City State Zip
Job Address 53-995 Ave. Juarez Community La Quinta
Legal Description SCV.at Vale LaQuinta Lot 12 Blk. 198=Unit 19
Assessors Map, Book & Page 77 -1 3-02 Type Structure DW19- & Att. Gar.
Type of Soil Sandy Is water available Yes Road Dept. Plot Plan No.
Type of existing trees in road right—of—way None
Trees preferred by applicant (1) Tamaraisk (2) Eiclayptus (3) Palm
Date Owner's Signature
Planning Commission Case No.
ROAD DEPARTMENT APPROVAL
Approved species Chilopsis linearis(Desert willow)15gal.size Number of trees_
Spacing of trees Distance from lot lines: Front Side
Additional requirements Strppt trpp should b 2' inside right of way and a
minimum of 10' from driveway.
Date Building and Safety notified 1/1R/R2 Signature n_M_
Reason
Request for hearing:
Owner's Signature
YES
REQUEST FOR EXCEPTION
(attach additions
(Forward application to Planning Dept, if exception requested)
NO REQUEST FOR HEARING
Planning Dept.
Concur F1
Date
Non -concur F-l Explanation
Signature
Road Dept.
Concur 0 Non -Concur O
Date Signature
REQUEST FOR HEARING AND COMMITTEE DECISION
Date hearing established
Approved 0 Disapproved
Date Building & Safety notified
Date hearing notice mailed to owner
Date Owner notified of decision
Signature
if necessary)
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