00018853 (AR)APPLICANT NAME (1, F. MI)
RY
ADDRESS
54605 AVE DIAZ
CITY/COM MUN ITY/STATE/ZIP
LA QUINTA CA 922530000
JOB SITE ADDRESS/SPACE
54605 AVE DIAZ
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922530000
BOK
774
PAG
263
PRC
016
C
4
TWN
0000
RNG
SE
00
S
TRACT LOT
000000 0006
MOD
011
SB
TRACT NAME
SCV LAOS $26, BL.9-271
VILLAWbA, HENRY
PHONEN
CONTRACTOR -FIRM NAME
LICNC N
ADDRESS
CITY/COMMUNITY (STATE /ZI P
PHONE N BLD PE FINAL DATE
r
ARC/ENG FIRM NAME ICNC N
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PLAN#
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
ENCLOSE GAR AS AEN
BL
R i
0ZON F2
SB
0 I a 0 S
/�
{Jsp 5
RS
a J. 0
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ZONE ORD#
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END
SIDE
0000
APPL/PRMT N PS DATE
00 018053 P f' 0!/�� /!2
CONSTRUCTION FEE
^ A /'� (j8 ^ n
3 4 �Wjl I/
$49.50
ELECTRICAL FEE
$8.00
ADA P/C FEE
$44.5,2
SMI FEE
$0.52
11
J / TFEEL .
/
121 -A
CAv
CK
NC
COUNTER B.I.
COUNTER L.U.T.
STRUCTURAL871
( BUILDING ) P E R M I T
TOTAL PERMIT COST IS $121.54
CONSTRUCTION ESTIMATE (NO'TEi Not to be used as property valuation)
Description FCC Group Typ a Sq Ft Rates Valuation
PRIMARY GARCON '101 R-3 V --N 400 $18-50 $7400
Construction Fete based on Total Actual. Valuation of $7400 1*1 $68.50
ELECTRICAL FEE COMPUTATIONS s Permit Fee (if applicable)
No of Uni.tsi 2 Services Volts 0
SMI FEE
ADD P/C; FEE
K
FORM 28<•208 (11-81) INSPECTOR
EEE' $ . a 0
$0.52
$44.32
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
_
BUILDING APPROVALS
MECHANJCAL APPROVALS
1
Set Back ,-y
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.
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath v
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts) J
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
4
r
P/L P/
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final 7�(
STREET NAME
i
P y
IN , �(
4
ITS.
z,y
qTY OF RIVERSIDB
RT NT .OF j Q P-�,
�I 'G & SAFETY f 1
--i
DATE
Plans shall not be construed to be
approval of, any violation of any of
the state or county laws. This apt
kept on the iob until completion.
iALL
--LN sal. �.-�.a 1�"� ��c. s ,. ► . -
v
t L
t ,i
Y
O
APPLICANT NAME (L, F, MI)
VILLANU VA , HENRY
54405 AVE DIAZ
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CCS 922530000
JOB SITE ADDRESS/SPACE
654605 AVE DIAZ
CITY/COMMUNITY/STATE/ZIP '
LA QUI NTA CA 922530000
BO)Kv�/�
1 !R
PrA�G
9603
PrR*C
0I
CA
4,
TWN
RNG{�;y
000
SE
00 -
S
TRACT LOT
000000011
i00061
MOO
IS.
TRACT NAME
LAO �3t�'K -271
,#26.,
VILnLAOWNER NAME �l VEVA, 14ENOY
VILLA
PHONE#
CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITYISTATE/ZI P
PHONE#
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC #
ADDRESS
CITY/COMMON ITYISTATE/ZIP
PLAN#
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
ENCLOS GAR AS DEN
BL ZON
01 . R1
FSB
020
I SSB I
005
SSB
005
RSB
010
OFC
IND
ZONE ORD #
LOT SZ
END
nnSIIDEp
O M 0 0
7.1 349
APPLICATION FOR STRUCTURAL PERMIT
T H I S I S A N. A P P L I C A T I O N O N L Y
II
FORM 284.208(11-81) INSPECTOR '
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs & 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.
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 1 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
PSL
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