15084 (RPL)1' NI 1 I E i"` F67b ,7 _
CA 922640000
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f ' :A 9600000
d?►1pNFtp `}A.e�•�p�J'� :BLOG:'INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC N
ADDRESS - •r
�CITYICOM MUN ITYISTATEIZI P
PLAN # .q
PLANS EXAMINER
APPROVE DATE
6T°PE a`91{-�'{`i .k
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d V A iJ
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
JOA
Fireplace T.O.
OP'N
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)
128 Ceiling (Batts)
QC Ceiling (Blown)
14 Fina)
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
PERMIT APPLICATION
County of Riverside
Department of Building and Safety
4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "0" Street 46-209 ]alis St. Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning. CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. C4 92201 Blythe. CA 92225
Ph: 787-6146 Ph: 849.7312 Ph: 658.4464 Ph: 657.3898 Ph: 34 -8271 Ph: 922.2670
This permit becomes void if work nor commenced within 180 days from date of issuance. OR, it work has beer suspended or abandoned for a period of 180 days.
t LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc-
4 Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full lorce and effect.
` 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 con-
. strucl. 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 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 live hunderd dollars ($500).):
❑ 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. If, however.
the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
ing that he did not build or improve for the purpose of sale.)
.s ❑l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
r : 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.)
F ❑I am exempt under Sec. . B.8 P.C. (Attach Certilicale).
". Date 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.
❑Certified copy is filed with the County Building Inspection Department or County Department.
APPLICANT NAME (L, F, MI)
M�5 � r � � ^
�9
$0.00
ADDRESS
*`-W-A HUY
CITY/DDM MUNITYISTATE/ZI P
PALM ESER CA 922600000
JOB SITE ADDRESSISPACE
4 910 AVE VISTA BONITA
CITYICOMMUN ITYISTATEIZIP
MMA ®UINTA CA 922Z36000
BOKAG
PPFIC
SMI FEE
TWN
RING
SE
S
77T
3s 0 0 7
AAC
0000
0
TRAC LOT
MOO
SB
014496 0132
TOTAL .
FEE
all
1Wia,70
CA
TRACT NAME
PHASE I
OWNER NAME (L,F,MI)
PHONE p
DEN x CORP
CONTRACTOR -FIRM NAME
LICNC N
MA 'ER POOLS
238947
ADDRESS
73563 HWY III
CITYICOMMUNITY/STATEIZI P
PALM DESERT CA 92.26000,00
HONEEN y ` - 'BLDG. INSPECTC f��
P7A4-346...6115
FINA DAT l� yx�
�'
14--'34 5."6l 1 W ®�\W��
>TOf._ g
ARCIENG FIRM NAME
LICNC e
ADDRESS
CITYICO M M UN ITYISTATEIZI P
PLAN d
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
BL
ZON
FSB
SSB
SSB
RSB
OFC
00
R28(100
000
000
1
INA
ZONE ORD N
LOT SZ
END
SIDE
..yy
VV(10
CERTIFICATE OF EXEMPTION FROM WORKERS' CC MPENSATION INSURANCE: This section need not be com-
pleted it the permit is for one hundred ($100) or les-. I certify that in the performance of the work for which this
permit is issued. I shall not employ any person in an, manner so as to become subject to the Workers' Compensa-
tion Laws of California.
Date _ 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 CERTIFCATION:
01 hereby certify that n0 excavation live (5) or more `eel in depth into which a person is required to descend. will
be made in connection with work authorized by this p?rmil, and that no building structure. scaffolding, lalsework.
or demolition or dismantling thereof. will be more thar thirty-six (36) feel high. (Chap. 3.2, Grp 2. Art 2. Sec 341,
Title B. C.A.C.).
❑As 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 persor has a permit to do such work Irom 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 td comply with all state laws and county ordinances relating to
building const ru ion, Z authorize a representajive df the County of Riverside, Department of Building and Safety
to ent> pin e p o My for which l led mr" his permit for the purpose of making inspections.
;'isignp.V of Ap licant o Age Dale
Print Applicant/Agent Name
APPLIPRMTp M• .PS DATE
aaal IaS4 a .��4/��
CONSTRUCTION FEE
M�5 � r � � ^
�9
$0.00
PLUMBING FEE
$14.600
ELECTRICAL PEE
$13.00
SMI FEE
$0.00
1
TOTAL .
FEE
1Wia,70
CA
CKy
A
NC
COUNTER"Bit.j
COUNTER L.U.T.
STRUCTURAL ( BUILDING ) P E R M I
TO'T'AL PERMIT COST IS $,2.17,00
�-CONSTRUCT.IpiN ESTIMATE (NOTEt Not to bo used as property valuation)
3�ascription FCC Group Types Sq Ft Rate Valuation
PRIMARY MISC M M 0 $10 00 $0
Construction Fee based on Total Actual Valuation of $0 ist $0.00
ELECTRICAL FEE COMPUTATIONS * Permit Few (if applicable) FEE's $3.00
SWIMMING POOL.—Privatert Y Commercial3 N Ser Vice Chance R/€s F'EEs $10,00
PLUMBING FEE COMPUTATIQNG * Permit Fee (if applicable) FEET $4.00
FIXTURES- Sar Sink: 0 Dr•inking Fntn : 0 FIr Drain t I
# of Water Heaters: I 9r of Drains an Roof t 00 FEEL $2.50
GAS PIPING SYSTEM- I to 5 Oullats t 1 6 or More slut leetsu t 0 FEE: $2.50
Installation of Water Piping and/or Water Tre atment Equ:i.P t l FEEL $2.50
SMI FEE $0.00
INSPECTOR
FORM 284208 (11-81)
NO. W+ OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS `
1 Set Back
33
Ventilation System
2 Ftgs & Frms
34
Plenums & Ducts
2A Slab Grade
35
Furnace Comport.
3 Steel
36
Inlets & Outlets
4 Grout Blocks
37
Combustion Air
5 Bond Beams
38
Compressor
6 Roof Deck
39
Appl. Clearance
7 Framing
40
Fire Damper '
8 Vents
41
Smoke Detection Device
9 Garage Fire Wall
42
Commercial Hood -
10 Fireplace P. L. 0
43
Final
10A Fireplace T.O.
P' ADDITIONAL INFORMATION
/'� 1 i?lC
-�V'
✓05-P
1
}
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Graded
INSULATION Thick R
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPRPYAALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater i
22 Water Softener
23 Water Service
24 Gas TestO � -
25 Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final Ja
STREET NAME
:?rl�rri;<tj.i'��•+j'ti4 _ �;d,•ti'f;�+`'°�'k� ,
.A f baJ r �`�"����+�.
� r'i i a rtsa a � nF,yj'vy � ifr�$i
C ta T
Vt:t��,.` rF7 ar .
The Cadiz ►>"F*ti€trt _s Y
`
l ' °• 4 of %,;,i;,�'nyy ,�' Jt:��•'rt V.
-
f'uM1ry
1:,� 7�4yt Ft�•e7 481 /
Nook -•
_ II � r'IY �Yt bI + •'v
FCDI Kitchen
C_kTh r y
ltais l Ceiling
Master Bedroom
State -
Patio' r. ,
Dining Room
Sliding cline Dwr
• t
O r
Cathedr•.d Ceiling -
O Living Roomp�.
with Clerestory Window's
wet lW O O
y ..
w Spa
to
Dry I Sen'ice
L ---j
Lt -tee J in .
I;Y
All dimensions approsim:de.
Artist's rendering.
LAN ,
APPROVAL
cd� L
13 QR.ro.�