40349 (RC)NItTlIe"A .�� LIN GEN...CONTRACTOR
yt,�eC
n
MRS•E,
IZIP
ETYCO tfifY
C A
922530900
RESSISPACE
ryI 4AL4E TAMPqCO
twOUCUNT AZIP CA 9220000'53'
AJ.9�t
Q 1<69.116U
$27.50
PfW►Cd'I
«a�
W4'8
$9100
0E E
U.
)
TWO 0 0 0 LOT
SB
1lACTf'
7��hl N.W
Qi:d
{g
t1 -I NDB
IW[�}eyTQ �F.��wl,A}� «i 3i.9�{R
PHONE q
t�Dy`•i
..tf6�Yd.�4Ny�1.``Fl��ini4�3y{A'k LIN
LlyNlj iii�e'7'N
A
F,UESSB-OX ! 1 2
CY� O M,U���`{I_TPT4ZIP CA 9;22530000
`�+4j-.-4.•1
�,•q?a �I
BL P TOR�O�
FINAL DATE
2—
ARCIENG FIRM NAME
r
LICNC R -
ADDRESS
CITYICOM M U N ITYISTATEIZI P
PLAN N
PLANS EXAMINER
APPROVE DATE
TE005tL 5X.F S .I, N.G R lwy'�-_I AU.R I! N 7.4
7777ON„.
FSB
yy��$$Bjj
i!..F
•yy$SB7799
Bt •
•1
QFC++yyy�
Y.
• 4`1
ZONEORDW
LOTSZ
.END ,�
ryry ryry`S�Ipy
vb02TSU5 PPS
CONSTRUCTION. FEE:
n9�Ds
4 0 0 4
6W . *,U
RLUMBXNG FEE
$27.50
E'LE',C rte XCAL
F9E
$9100
P
MACRCIF:ELM
FEE
$0.40
• 4`1
"
TOTAL
FEE
CA
I CIA
INC'
I COUNTEn
COUNTER L.U.T.
3 'r 11 U, R A L t PUI DING ) P E R M, I., .0
T01AL't FERN.Vt C681, $105.96
CONSTRUCT -ION ESTIMATE (NOTE-. Not 'to be used as property valuaTi.on)
Description FCC Cr(� oup Type Sq t Rate Val.uaT*on
i Construe-rion ..F:ee basest on Toval Acltu.al. V;aluati.on of $8000 iso: $68.50
ELECTRICAL FEE COMPUTATIONS * Permi't Fee. ( if applicable) FITC:: $31010
No of Units: 11 Service Vo'ital , 0 -FEE1 $6,100
PLUMBING FEE COMPbTAT':t;f`NS * Permit Fec (if applicable) FEE.,- $4-C-0
3
FIXTURES -Bar, Sink 1 0 Dri.nk:i.rtp Fntre: & Fly, Drain 0
Water Softner�r 0 Washer (Auto/1) 4rh : I arbage Diss: 0
EKitche�n Sink: ;t Laundry ira : 9 Ur ina t a 0 Wtr` Closet t 0
SEWER -Building i I Indust.r�ia Wazle Pretreat Intercpt: 0 FE+E~: :(;511:g0
of Wa'ter "h4eater~4,: 10 of Drains on Roof:. 00 FEET $2 0
GAS PIPING SYSTEM-- i To 5 Uutlets:0 6 or -More Outletst 6 t"E'C: '$3.00.
RE'PfaIR ALTEwRATION - Drainage, Vent, Wii tern Pips �.rrc�?Trea`sment o 1 FEE: $2.50
nstal.l.St;' on of Water, Plp�ng ,ane /qr Water Treazrrentt E:.quip t l FEE,, $2.50
-.SMX FEE
'FORM INSPECTOR 284-208111.81) ,
NO.
6PERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs B 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
Roof Deck
t/
39
Appl. Clearance
7
Framing
-
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
110
Fireplace
P. L.
43
Final
IDA
Fireplace
T.O.
No ADDITIONAL INFORMATION
[ 41
-`� — , '
c - v�C�
�J
_
,
SEWAGE SYSTEM 'SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Wal s (Batts) 3 e
12B Ceiling (Batts) ✓�
12C Ceiling (Blown)
14 1 Final
PLUMBING APPROVALS
15 Ground Plumb �..
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater Z L
22 Water Softener
23 Water Service
24 Gas Test fj _ Z Z
25
Final
Tank Pit L. Line
REAR OF PROPERTY LINE
PSL P/
j
r
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit i
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final �_ _ �Z
STREET NAME
APPLICANT NAME (I., F MI)
;'ADORESS
BOX 912
cL. GGMM
t�t9 i iT ZIP CA 922530000
•.CALLE ` A Cr CY
9BdIa7DeRESSSIISPPACE .
y31VVQ
'.KOMJfATElZIP CA 922530000
BOW
7 �g'0�0
PAG
PRC
017
C
?
_
r :V V.a 00 LOT
ti
-
1� q QU`f►
1 8
SB
TRACT NAME ,
/2.. NW 1/4.
yNyE1
MTV lWl SANK tt
b A R
PHONER
QPYc
iYA 6 E L -I �a' `mss
FI��Cg
LI`SJ 6634
g�roQi�i;
y`
tC"7IVJEs y
i A
M7LMV�JN:7y �n g. r� �y
1�..C`1CG.is' 6l.d►�IyTAIZIP VA '7 2253 0 0 0 0
VW -564-40 1-.7'
BLDG. INSPECTOR
FINAL DATE "
ARC/ENG FIRM NAME
LICNC #
ADDRESS '
r ,CITYICOMMUNITY/STATEIZIP
!PIAN
' #
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT '
RERUDE EXX'STING T
iBIL
CWNS
FSB
t,I��gE.�aq
OSV \l
jl�'6rAURpAN
016BF�
Olt
.A.F"AJ.
y
ZONEORD#
LOT SZ
END
0ro t-� ti
/40348
1
TOTAL .
FEE
CA CK NC COUNTER B.I. "COUNTER L.U.T. '
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 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.O. ❑
No
ADDITIONAL INFORMATION
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Bons)
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
YtNMII AYYLIL-ATIUN
County of Riverside
Department of Building and Safety
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street
227 North "0' 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: 658.4454
Ph: 657.3898 Ph: 342.8271 Ph: 922.2670
This permit becomes void it work not commenced within 180 days from date of issuance. OR. if work has beer' suspended
Or abandoned for a period o1 180 days.
❑
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment-
pleted if the permit is for one hundred (5100) or less. I cerlify that in the performance of the work for wt -ch this
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect.
permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Corr pensa-
TWIN
tion Laws of California.
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 Cade: Any city or county which requires a permit to con-
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 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 ex-
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
mit subjects the applicant to a civil penally of not more than five hunderd dollars ($500).):
❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the
structures; not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
Law does Tot apply to an owner of properly who builds or improves thereon, and who does such work himself or
through hH own employees, provided that such improvements are not intended or offered lot sale. II. however,
the buildirly or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
ing that hw did not build or improve for the purpose of sale.)
❑I, as emer 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 property who
builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con-
tractor's License Law.)
01 am exempt under Sec. BA P.C. (Attach Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure. or a
certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.).
[]Certified copy is hereby furnished.
❑Certified copy is filed with the County Building Inspection Department or County Department
APPLICANT NAME (L, F, MI)
Gr
ADDRESS
SS
LyDDRE7+
�}
Box 12
CITY/COM MUNITYISTATEIZI P
LA QUINTA CA 922530000
JOB SITE ADDRESSISPACE
75120 CALLE TAMPICO
CITY/COM MUNITYISTATE/ZI P
LA QUINTA GA 922530000
BOK
PAG
PRC
C
TWIN
RNG
BE
S
769
030
017
7
00ta8
07E
06
0
TRAtyCTn n M — �� LOT
000000
MOD
01
SB
TRACT NAME
S 1/2,NW 1/4
OWNER NAME (L,F MI)
i=REAY'�, SANDBAR
'PHONE #
CONTRACTOR -FIRM NAME
CRAIG CONKLIN
LICNC #
316634
ADDRESS t
PO BOX 91
CITYICO M M U N ITYISTATEIZI P
LA QUINTA CA 922530000
PHONE#
714.564--4019
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITYICOM M U N ITYISTATEIZI P
PLAN A; .
PNEXMINERytg_C
APPPOVE DATE
OQ'
USE OF PERMIT
$44.52
REMODEL
EXISTING RESTAURANT
BL
O
ZON
CP
FSB
SSB
000
SSB
0001
RSB
000
OFC
IN
ZONE ORD#
LOT SZ
END
„SIDE
0000
OF
Date Applicant _
NOTICE TO APPLICANT: If, after makinglhis Certificate of Exemption, you should become subject to the N.Orkers'
Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit :hall be
deemed revoked.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
01 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) feel high. (Chap. 3.2, Grp 2. Art 2. Sic 341.
Title 8. C.A.C.).
OAS owner -builder, I will not employ anyone to do work which would require a permit from the Division of In-
dustrial Safety, as noted above, unless such person has a permit to do such work from the division.
❑Division of Industrial Safety Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency lot the -perfor-
mance of the work for which this permit is issued (Sec. 3097. Civ. C.).
Lender's Name _
Lender's Address
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OKNTRY: I certify I have read this application ae:d stale
that the information given is correct. I agreedo cyoly,with all state laws and county ordinances relding to
building construction, and authorize„a-ftreska"live of the County of Riverside. Department of Building ane Safely
to enter upon�ifie properly for w�hh�TT I have appllid for This permit for the purpose of making inspectior;.
Signature of Applicant or Agent Date
Print Applicant/Agent Name
APPLD 11IPRMT #
ESTIMATED
IrnPS DATE
PLAN REV FEE
4 0 9
$44.52
/t
TOTAL .
FEE
$44.52
CA
CK _
NC
C. OUNTER B Ig �
COUNTER L.U.T.
PERMIT FOR STRUCTURAL PLAN REVIEW
TOTAL PERMIT COST IS $44.!52
CONSTRUCTION ESTSMATE
Description
PRIMARY MISC
Est Plan Rey Fee based
FORM 284-208 (11.81) 1 NSPECTOR
(NOTEtNot to beused as property
FCC P ,tyP Sq
M M
Boo
on Total Estimated Val `tn . of
valuation)
Rate Valuation
$10.00 $0060
$13000 is t $44.52
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. 0.
P'
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 (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping t A
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
t'
PSL
REAR OF PROPERTY LINE
r 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
L
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I an licensed under provisions of Chapter 9 (commenc-
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and ell-.-ct.
OWNER -BUILDER DECLARATION: I hereby alfirm 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 on-
strucL 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 aw
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a jet -
mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's LicE-Ise
Law does not apply to an owner of property who builds or improves thereon, and who does such work himse I or
through his own employees. provided that such improvements are not intended or offered for sale. If, howe•er.
the building or improvement is sold within one year of completion, the owner -builder will have the burden of p ov-
ing that he did not build or improve for the purpose of sale.)
Of, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (5 ec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property vho
builds or improves thereon, and who contracts for such projects with a comraclor(s) licensed pursuant to the Con-
tractor's License Law.)
Of am exempt under Sec. B.& P.C. (Attach Certific.1e).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, 3r a
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
❑Certified copy is hereby furnished.
❑Certified copy is filed with the County Building Inspection Department or County Dreparimnt.
APPLICANT NAME (L, F, MI)
CRAIG CONKIIN GEN CONTRAClOR
ADDRESS
PEIMIT APPLICATION
CITY/COMMUNITYISTATEIZIP
LA QUINTA CA 922530000
JOB SITE ADDRESS/SPACE
78120 CALLE TAMIPICO
County of Riverside
LA QUIN'i'A CA 922530000
BOK
PAG
Departmelt of Building and Safely
C
4080 Lemon Sr. 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
Hemel„ CA 92343 Perris, CA 92370
Indio, CA 92201 Blythe, CA 92225
Ph: 787.6146
Ph: 849-7312
Ph: 658-4464 �'' r �.� Ph: 657.3898
Ph: 342.8271 - Ph: 922.2670
This permit becomes void it work not commenced
within 180 days Irom date of
issuance. OR, it work has beer suspended or abandoned tar a period of 180 days.
L
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I an licensed under provisions of Chapter 9 (commenc-
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and ell-.-ct.
OWNER -BUILDER DECLARATION: I hereby alfirm 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 on-
strucL 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 aw
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a jet -
mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's LicE-Ise
Law does not apply to an owner of property who builds or improves thereon, and who does such work himse I or
through his own employees. provided that such improvements are not intended or offered for sale. If, howe•er.
the building or improvement is sold within one year of completion, the owner -builder will have the burden of p ov-
ing that he did not build or improve for the purpose of sale.)
Of, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (5 ec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property vho
builds or improves thereon, and who contracts for such projects with a comraclor(s) licensed pursuant to the Con-
tractor's License Law.)
Of am exempt under Sec. B.& P.C. (Attach Certific.1e).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, 3r a
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
❑Certified copy is hereby furnished.
❑Certified copy is filed with the County Building Inspection Department or County Dreparimnt.
APPLICANT NAME (L, F, MI)
CRAIG CONKIIN GEN CONTRAClOR
ADDRESS
BOX 912
CITY/COMMUNITYISTATEIZIP
LA QUINTA CA 922530000
JOB SITE ADDRESS/SPACE
78120 CALLE TAMIPICO
CITYICOMMUN ITYISTATE/ZIP
LA QUIN'i'A CA 922530000
BOK
PAG
PPC
C
TWN
RNG
SE
S
769
I 030
017
7
0065
07E
0b
0
TRACT LOTMOD
SR
000000
011
TRACT NAME
S 1/2 NW 104
OWNER NAME F'REDY'L8, SANDBAR
PHONE«
CONTRACTOR -FIRM NAME
CRAIG CONKLIN
LICNC fl
316634
ADDRESS
PO BOX 912
CITY/COMMUNITY/STATE/ZIP -
LA QUINTA CA 9225:30000
PION W—
Jb4—A 0 17
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC d
ADDRESS '
CITY/COMMUNITY/STATE/ZIP
PLAN It
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT '
REMODEL EXISTING RESTAURANT
BIL
00
CPS
FSB
SIB 11S.
000
000
000
IFND
ZONE ORD f/
LOT SZ
END
SIDE
0000
r
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not to com-
pleted it 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' Compensa
lion Laws of California.
Date Applicant
NOTICE TO APPLICANT: IL 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:
01 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 buildingstructure. scaffolding, falsework,
or demolition or dismantling thereof, will be more than Ihirty. six (36) fee( high.. (Chap. 3.2, Grp 2, Art 2, Ssc 341.
Title 8, C.A.C.),
OAS owner -builder, I will not employ anyone to do work which would require a permit from the Division of In-
dustrial Salely, as noted above, unless such person has a permit to do such work from the division.
❑ Division of Industrial Safety Permit No.
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
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 state laws and county ordinances relating to
building construction, and authorize a representative of the County of Riverside, Department of Building and Safety
to enter upon the property lot which I have applied for this permit for the purpose of making inspections.
X
Signature of Applicant.or Agent Date
Print Applicant/Agent Name
Af1lPPL/PRMT f/ PS DATE ? 40178
TOTAL .
FEE
CA CK NC COUNTER B.I. COUNTER L.U.T.
APPLICATION FOR STRUCTURAL PLAN REVIEW
T H I S I S A N A P P L I C A -T I O N O N L Y
c
ADO[ it AAIT may"
APPLICANT. NAME (L, F. MI)
'40178
ADb'RRESS -
�9 i .�
BQX 7 7 K..'...
CITY/COMMUNITYISTATEIZIP
LA QUINTA CA 922530000
JOB SITE ADDRESSISPACE
78120 CsAL.L.F. TAMPIC O
CITYICOMMUNITYISTATEIZIP
LA QUINTA CA li 22530000
BOK PAG
PRC
C
TWN
RNG
SE
S
769 030
017
7
0066
07E
06
1!
t TRACT LOT
MOD
SB
.i
)) 0-00004.•
TOTAL
FEE •i
011
CA'
TRACT NAME
C� 1/2NW 1i4'
7WNER -NAME (L, F,MI) - PHONE
p
,FKEDY' S . • SANDBAR
I CONTRACTOR -FIRM NAME.
LICNC p
`tPAIG Int NKLIN
316634'
ZUDDRESS
CITYICOMMUNITYISTATEIZIP
k„A` QUINTA CA 922530000
564-1 X017
BLDG. INSPECTOR
FINAL DATE
k .ARCIENG FIRM NAME
LICNC p
ADDRESS
' CITYICOMMUNITYISTATEIZIP '
PLAN p
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
rma •L. r_, x. STlN' RESTAURANT -
FSB
OFC
QO:...`�
Sao
000 a00
ZONE ORO0
LOT SZ
END
SIDtEt
'
�K}f.y
N00
APPL/PRMT p PS I DATE
n In n r5I
_V
'40178
.i
TOTAL
FEE •i
CA'
CK-
NC
COUNTER B.I.
COUNTERL.U.T.
i
L4'�P<l—. — � _.. �. ..ti. .— —.�—•..'41..w-•.+n. Y+-..--..•: � — �-r.— — .�3°--�r--:1�`�;v.�.t.—...r. •--••. �..�.. e -a •— .�.— -� +. � �- .� .+. �. r '. _� _
qqppp� y�{� �^P'ry yy�r. + A ppeAp�7. I 7 W 11 U I
F� YYf-I'"LICrAT�FbFN``.FOR 3Tlq' Jl.erURA�.,''' 1,»7} REVIEW
`�.S G. W- .
`r H X 'a S 8 A N A� i?. L. 7,' C: A T 10 N O N L. Y
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. 0. E]
OP'N
NO.
I ADDITIONAL INFORMATION
'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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