00009963 (SATT)APPLICANT NAME (L, F, MI)
49420 AVE CLUB 1,A QUINTA
C I TY/COM MUN ITV /STATE/ZI P
LA p1, INTA CA 922530000
JOB SITE ADDRESS/SPACE
49420 AVIE GLUT1 LA MAN
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922530080
BOK PAG
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TRACT LOTMOD
016786 loonsil
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TRACT NAME
OWNER NAME (L, F, MI)
LAND C
CONTRACTOR-FIRM NAME
ADDRESS
49500 EISENHOWER
CITY"COMMUNITY/STATE/ZI P
TA CA 2225100110
PHONE N
r,35,1017
LICNC N
ARC/ENG FIRM NAME
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
LICNC N
USE OF PERMIT
ZON
Mw1
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FSB
SSB SSB
00
000 0
RSB
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END
SIDE
APPLICATION FOR
T M I$ I S A N A P P
Nature of BMus Comment - -------
TRACT Mibi RECORD BEFORE PERMIT C
FORM 280.208 (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
Slob 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 Deice
9
Grange Hie Wall
42
Commercial Hood
10
Fireplace P.L.
f
43
Final "
10A
Fireplace T. 0.
[j
°o
ADDITIONAL INFORMATION
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internnl Loth
12A Drywall
13 Finish Grade
INSULATION Thick,
R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
-F'1Uh.GINC APr1ZO;F q.------ ----------------
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
P/
26 Power Pole
27 Conduit x
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
-32 Final
STREET NAME
County of Riverside
Department of Building and Safety
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "D" Street 46.209 Oasis St. 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: 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, if work has been suspended or abandoned for a period of 180 days.
LICENSED CONTRACTORS DECLARATION: I hereby alfirm 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.
I License Class
I Date
Contractor
Lic. Number
OWNER -BUILDER DECLARATION: I hereby affirm that 1 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. after,
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
penally of not more than five hundred dollars (5500).):
C] I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the
structure is not intended or offered for sate (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. II, 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 sate.).
I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044.
usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or
improves thereon, and who contracts lot such projects with a contractor(s) licensed pursuant to the Contractor's
License Law.).
❑ I am exempt under Sec. . B. & P.C. (Attach Certificate)
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that 1 have a certificate of consent to self -insure. or a
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
Policy No. Company
O Certilied copy is hereby furnished.
Certified c py is filed ith'the County Building Inspeclion DDQ�ppsseee�dddddda lr meny! or unty Depa ment.
Oate',i7z� Applicant ii 1'�^'
CAMAN F, "'LAND CO
ADDRESS
49420 AVE CLUB LA QUINTA
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922,330000
JOB SITE 49420 ADDRESS/SPACE AVE CLUB LA QUIN
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922530000
BOK
631
PAG
370
PRC
012
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7
R-3
TWN
0900100
RNG
SE
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TRACT
016786
LOT
0005
12
PERMIT FDA STRUCTURAL PLAN REVIEW
MOD
�I11
I SB
0021
TRACT NAME
LA1AlARFSIMI) LAND C
CONTRACTOR -FIRM NAME
LANDMARK LAND CO
ADDRESS
49500 EISENHOWER
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922530000
PHONE N
714-345-2889
a
LICNC N
352017
valltn
ARC/ENG FIRM NAME
ADDRESS
C ITY/COM MUN ITV/STATE/ZI P
PHONE N
LICNC N
USE OF PERMIT
CONDO DWLG 4 ATT GAR
BL
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FSB
SSB
000
SSB
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0 0 0 iM
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the
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.
Dale 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, lalsework, or
demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title B.
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.
❑ 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
1 certily 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 properly for inspection purposes.
Signature of Applicant or Agent Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify 1 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 con-
struction, and authorize a representative of the County of Riverside, Department of Building apd Safety t enter upon
the property for which) have applied for this permit for the purpose of making in sp cl'tln / _ C l
r !� /T
ter Signa! o pylic t Ag Date
�� a e
fir^
.rte Print Applicant/Agent Name
00009963 ca 12/213/81 010695_
ESTIMATED PLAN REV FEE t2M2.20
Not to
be used as
property
FCC
Group
Ty e
$ Ft
001
R-3
V
6598
12
PERMIT FDA STRUCTURAL PLAN REVIEW
TOTAL
FEE
*252 0
INSPECTOR'S COPY
PERMIT FOR 'STRUCTURAL PLAN REVIEW
TOTAL PERMIT COST IS *2a2.20
You rust sae the following Departtl4ents Cif listed) for concurrente BEFORE
a pert*it can be Issued t
De%c r ip t i off► ___------------ -------------- Dept t t o Sea -----
HOLD- HEA1TH
HOLD -
PLANNING
Nature of Situ% Cot4ment --------�vActi.on Tak8n --- -�-- ---- CA$* Use No .,,�•..•..
TRACT HURT RECORD BEFORE PERNIT CAN BE ISSUED CU -2475
CONSTRUCTION ESTIMATE
Description
RRtMARY DWLG
BECNDRY PATIO
SEC:NDRY AIR+CON
SEFNDRY WAL
Est Ian Rav ere based
(NOTE!
Not to
be used as
property
FCC
Group
Ty e
$ Ft
001
R-3
V
6598
12
PICP
0021
� 3
ft
2b51V
a
oD01 ToU stiMated
r►
valltn
of
valuation)
Rate Valuation
$9.6a '$5714
44-io $0
412 4 iM $584
*84951 1s4 1282.20
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System r
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
$
'Vents'
41
Smoke Detection Device r
9
Garage Fire Walh
42
Commercial Hood 1
" l0
Fireplace
PA. �
43
Final
10A t
Fireplace
T. 0.
°o
ADDITIONAL INFORMATION
-
r
- -'
--------------------- -
- ... - • '.
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 AfPROVALS----------------------------------
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
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures s
• 31 Service
32 Final
STREET NAME
APPLICANT NAME (L. F. MI(
�ANMARXi LAND GO
49420 AVIS CLUB LA QUINTA
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 9221530000
JOB SITE AODRESS/SPACE
49420 AVE CLUB LA OUIN
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922tS30000
BOK
631
PAG
370
PRB
C
012
CC
►+
TWN
RNG
000
SE
00
S
TRACTLOT
01b�'8 ► 000.E
MOD
0"I1
SB
TRACT NAME
LA�l6Q,(i ° LAND C
CONTRACTOR -FIRM NAME
LANDMARK LAND CO
ADDRESS
49500 t1SCNHOWER
'CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922530000
PHONE N
714-345-2888
LICNC N
=017
ARC/ENG FIRM NAME
-ADDRESS
CITY/COMMUNITY/STATE/ZIP
PHONE N
LICNC N
USE OF PERMIT
CONDO DW1»0 b ATT GAR
BLZON
00
R-1
FSB
SSB
000
SSB
000
RSB
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OFC
IND
ZONE ORD N
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END
SIDE
0004
APPLICATI00 FOR CTRUCITURAL FLAN REVIEW
T H x 8 1 9 A N A P P L I C A I 1 0 N 0 N L Y
You most see the following Departmenis Lif lit►ted) for cancurrpnco BEFORE
,a Permit can Dia iusau+ad s
HQLD-
HQLD-
HQLD-
Dept to see---
ROADDiM
PLANNING
Nature of Situs Cartnent Action 1' fkan „».»,,.�.-�..,--- +��s�® L�>Kp Na
TRACT MUST RECORD BEFORE PERMIT CAN 8E 18 UED CU�247i
I T
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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 Deice
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
FireplaceT. 0.
- -
OP
0.
-
---------•------------------------------------•-
ADDITIONAL. INFORMATION
^ v
-
- -
v- f.F fi
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
' 12 Internal Lath
12A Drywall - -
13 Finish Grade -
INSULATION Thick ,R'
Value
7A Walls (Botts)
128 Ceiling (Batts)
12C Ceiling (Blown)
14 Final
---------------- PLUMI'MNG A-PPROVALS----------------
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
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME