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00017528 (HOTL)ry PERMIT APPLICATION County of Riverside Department of Building and Safety 4080 Leman 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 Hemel. 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: 9222670 This permit becomes void if work not commenced within 180 days from date of issuance. OR. if work has beer suspended or abandoned for a perioo of 180 days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am 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 lull force and effect El 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.Prolessions Code: 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 live hunderd dollars ($500).): ❑ 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 safe (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.) ❑I, as owner of the property, 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 conlractor(s) licensed pursuant to the Con- tractor's License Law.) Of am exempt under Sec. B.B P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby allirm 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. ❑Certilied copy is tiled with the County Building Inspection Department or County Department. APPLICANT NAME (I^ F, MI) LANDMARK, LAND CC 4R)� 0 AVE ODREGON 1 hC°r�/1cluNyv1STQTA21P CA 922530000 JO(3rSL.EA40RESSl/SPACE ODREGON 1• '^�M1 till VVII AVEr7 i.7 f{`A I`9`2CS,330040 ti77Ci0 ('ITpT JZIP { EEK 31 ab0 lI45 6 I 5s 'air E SE A� o 0 0 LOT ry1,QQ I 1J 3 SB LT6A6T0 `JCTJ f kJ) SSW 1/4 OWNERsr6gAd.E ,6 [•1,yryy } LANA/ CO, PHONEp VLNi{N'iQ�jQi'�IhA�gMPTii,`AM'LAYNND CO � XNC Ll�y e44 6 T1W CLOCK TOWER FL. T�AT3WC�h,Lh1,T1fCISTATE/ZIP CA 939 3000 p 4�:7 7 Vv R4�FF0�11::`CV��-3i%w 5-2888 [=INSPECTOR FINAL DAwT7EW ARCIENG FIRM NAME LICNC fI ADDRESS CITYICOM MUNITYISTATEIZI P PLAN M TOTAL FEEt► APPROVE DATE Dwi G.1f." 11IEL UNITS IN 4LDG 3 Eb 0 R T N 07Eb Oyb 1 0Sod 10 -0 1 1 YLFP+l1) 157Q.N PPA LOTSZ END Fy$TD CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- pleted 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. 1 shall not employ any person in any manner so as to become subject to the Workers' Compensa- tion Laws of California. Date Applicant NOTICE TO APPLICANT: If, after makinglhis 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 building structure, scaffolding, lalsework, or demolition or dismantling lhereol. will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341. Title 8. 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 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 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 for which Mave applied for this permit for the purpose of making inspections. Signature`drApplift or Agent Dale Print Applicant/Agent Name APPLIPRMT MPS 00017r;wE3 ESTIMATED DATE 34506 CD 04/30/t�2 PLAN REV FEE *ZU1,50 TOTAL FEEt► 0 .50 CA CWI NC COUNT R B.I. COUNTER L.U.T. Yz q PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL. PERMIT COST IS $201.50 CONSTRUCTION ESTIMATE (NOTE: Not to be used as property valuation) Description FCC Group TYAQ Sq F* date Valuation PRIMARY HOTEL 213 R-•1 V- 1665 $31,30 $52114 SECNDRY PATIO 329 M V_N 404 $4.90 $1995 SECNDRY AIRCON 900 R-3 C 12525 $2.60 $4225 Est Plan Rev Fee based on Total E:slimated Val'tr► of $583;38 i0: $201.50 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 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 IDA 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 (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 P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding r 30 Fixtures 31 Service r 32 Final 1 STREET NAME PERMIT APPLICATION , County of Riverside Department of ++080 LE'non431. 2nd Floor w r 135 N. Alessandro Rd. Rm. 203 880 N. siateSheel d Jeiversitle, r Building and Safety 227 North "0" Street 46.209 Oasis St. Rm. 310 • 160 N. Broadway r. t ` ` -Blythe. CA�]!501 Banning. CA 92220 Hemet. CA 92343: Per:°s. CA 92370 - -e, Intlio. CA 92201 • CA 92225 + ... Ph: 781.6146-. Ph: 8497312 Ph: 658.4464 �• Ph: 657.3898 .' . -Ph: 342.8271 ;• Ph: 922.2670. , ' This permit becomes void it work not commenced within 180 days Iron date of issuance. OR, if work has beer suspended or abandoned lot a period of 180 days. - - - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-' LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I am licensed under provisions of Chapter 9 (comment pleted if the permit is for•one hundred ($100) or less. I certify that in the performance of the work for which this -Permit issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa- ;ting with Section 7000) of Division 3 of the Business and Professions Code. and my license is in lull lorce and effect. - tion Laws of California. Date, _' x - .Applicant ' ,: NOTICE TO APPLICANT: It. after makingthis Certilicate 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 lot the. Compensation provisions of the Labor Code: you must forthwith comply with such provisions or this permit shall be r' following reason (Sec. 7031.5, Business and Prolessions Code: Any city or county which requires a permit to con- :, deemed revoked. :u slrucl. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such nn permit to` life a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law • ; DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - • - - (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- t ❑I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will empt therefrom and the basis tot the alleged exemption. Any violation of Section 7031.5 by any. applicant for a per. the applicant to a civil of not more than live hunderd dollars ($500).): be made in connection with work authorized by this permit, and that no building structure. scaffolding, falsework,. mit subjects penally - +❑ or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2. Art 2. Sec 341. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the Title 8. C.A.C.). - , -• structure is not intended or offered for sale (Sec. 7044, Business and. Professions Code: The Contractor's License •' ❑ As owner -builder, I will not employ anyone to do work •which would require a permit from the Division ofIn- Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or - dusirial Safety: as noted above. unless such person has a permitto do such work from the division, through his own employees, provided that such.. improvements are not intended or offered for sate. It however, Industrial Permit the building or improvement 1s sold within one year of completion, the owner -builder will have the burden of p(ov- ❑ Division of Safety No. _ -•- - ing that he did not build or improve lot the purpose of sate.) !rl - . .. ❑I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. CONSTRUCTION LENDING AGENCY: I hereby affirm that. there is•a construction lending agency for the perfor- 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who mance of the work for Which this permit is issued (Sec. 3097, Civ.. C.). builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- Lender's Name tractor's License Law.) Lender's Address F - ,❑I am exempt under Sec. " BA P.C. (Attach Certificate). , P NEp Date ° Owner ` - 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 WORKERS', COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, ora building construction, 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. certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.). . `' LICNC N - - ❑Certified copy is hereby Iurnished .,. .' �• ..ra - ` t copy is liledwith the County Building Inspection Department or County Department. Signature of Applicant or Agent Date " c 1-k Print Applicanl/Agent Name APPLICANT NAME (L, F, MI) - - '- s - ^ .- • - ,, 03 +7 u C.I ITVISTA • r JM SITE D S S EAVE CI IC ITVISTATEIZIP 0BREGON N A nn d C C N h S Ct IS O - - LOT - ffA T , 01 - • ., O NE APIT (IFJAJ - PHONE 0 CONTRACTOR -FIRM NAME - a LICNC p',� - pMARK I. AND S co, XNG 334 6 inn r, IC MM IZIP -EF . P NEp CIA BLDG. INSPECTOR INAL RAE goo AR EN FI E - - LICNC N - ADDRESS ` t CITYICOMMUNITYISTATEIZIP .. rf ✓ ' - -, CA CK I NC PLAN p - PLANS EXAMINER COUNTER L.U.T. -APPROVE DATE - USE OF PERMIT - ... • J "+' .' . N . B SS B RSB OFC ZONE R p L T 2 END E, 1f:. .!. APPLIPRMT If , a PS ` w/ r_ . DATE w� ,, 03 +7 u • r ` t TOTAL .: FEE CA CK I NC COUNTER B.I.- COUNTER L.U.T. - 9 UT APPLICATION, FOR TRUC71lRAL ..PLAN REVIEW -, T "H I- a I .5, A N A `P F' -.L. V C: A +T -I 0 .N O N LL Y You, Mtist�,see -the following DeparT,ments" (if -listed) 'fnr 'c*oncurtence-BEFORE a Permit can be issuedt- Descri 't,ion - _ - ,.� - - Dept to see -�- rHOLD-ROAD', 'H-AL1'H i. - Y -' LAND U5' .. _ •0; Cy,p//17�f't wt// �/N®T."Ile � �4 Zr I r -6,a ^ / �f ' + - FORM 284.208(11-81f APPLICANT L "r - ' ' • _ - - - 7 PERMIT APPLICATION Couniv, of, Riverside Department 0 Building and Safety t , -. 4080 hem Se 2nd Floor 135 N. Alessandro Rd. Rm. 203 88o N. slate Street. RrverSi48, 92501 Banning, CA 92220 Hemet. CA 92343 227 North "D" Street 46.209.Oasis St. Rm, 310 160 N. Broadway Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 1-76-6146 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, it work has beer suspended or abandoned for a perfou of 180 days. - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- LICENSED CONTRACTORS DECLARATION: I hereby aflirmihat I am licensed under provisions of Chapter 9 (comment• pleled if the permit is for one hundred ($100) or less. I certify Thal in the performance of the work for which this issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa- Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. tion ion Laws of California. ❑ Date Applicant NOTICE TO APPLICANT: If, 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 + Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be " following reason (Sec: 7031.5, Business and Professions Code: Any city or county which requires a permit to con- deemed revoked. struct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such C I ITYISTATEIZIP permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- of hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will, empt therefrom and the basis for the alleged exemption. AnyJ3jolation of Section 7031.5 by any applicant for a per- mit subjects the applicant to a civil penally of not more. than AVB hunderd dollars ($500).1: be made in connection with work authorized by this permit, and that no building struclure. scaffolding, falsework, TOTAL . FEE or demolition or dismantlingthereof, will be more than thin six 36 feel high. Cha 3.2, Gr 2, Art 2, Sec 341, .` Y' ( 1 9 (Chap. D ❑ I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the . Title 8. C.A.C.). structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License OAS owner -builder. I will not employ anyone to do work which would require a permit from the Division of In - Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or dustrial Safely. as noted above. unless such person has a permit to do such work from the division. ) through his awn employees, provided that such improvements are not intended or offered for sale. II. however. ❑Division Industrial Safety Permit No. the building or improvement is sold within one,year of completion, the owner -builder will have the burden of prov- of _ Ing that he did not build or Improve for the purpose of sale.) ❑I, as owner, of the property, 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 contractors) licensed pursuant to the Con- tractor's License Law.) 01 am exempt under Sec. B.8 P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure. ora cerlilicate of Workers' Compensation Insurance, or a certified copy (hereof (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) - BD ♦ ' ICU -. !°I 1 ✓• 7 CW/ I NITYISTA Z PE C1�rJa' JOB SITE AODRESSISPACE ` 0 ISI C I ITYISTATEIZIP TOTAL . FEE 80 CCw TWN -' WNV Stw S CK NC COUNTER B.I. - COUNTER L.U.T. TRA 1' LO MOD A T a'3 1 9 fA, OWNER -NAME (,F,Mq - - PHONE It � i CONTRACTOR -FIRM NAME LICNC If x AD RESS inn r1nrTgJ4R G PJ__ CITYICOMM NITYISTATE121P .o dw ,:r PHONE q ' BLDG. INSPECTOR FINAL DATE ...:i ARCTENG FIRM NAME LICNC q - ADDRESS - CITYICOM M UN ITYISTATEIZI P PLAN q PLANS EXAMINER APPROVE DATE USE OF PERMIT VX LA 1 - BON L UZ FSB SSB SSB RSB OFC l ZONE ORD q LOT SZ END SIDE ff 4 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 haveread 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 Safely to enter upon the properly for which I have applied for this permit for the purpose of making inspections. Signature of Applicant or Agent Date • Print Appficanl/Agent Name APPLIPRMT,q PS - � DATE21 0 le a%w e .� I tJG '34503 7 TOTAL . FEE CA CK NC COUNTER B.I. - COUNTER L.U.T. . 4 , E 345131 APPLICATION FOR STRUCTURAL' PLAN REVIEW 'f` H I S, 1• S A N A P P L I O A T I C N' 0 N L Y uMust see the following' Dwpartl ent% (if lasted} for concurrence BEFORE ,-,a Permit can be issoad a DescriHOLW-•ROAD, H ALTH LAgD USE NBT �t. _T FORM 284.208 (11.81) ASSESSOR " c 0 k Sr IR, 0 c rl i U N FEE 25698 $.407. U0 P L�,UMB ING ;'r,,E D AVE P aN, YOU" 3 0 01 -0.0 RESSISPACE I. T P A $1 17:51 Y." si1S $4'1: 04 MTtROFALM 05( K valo" 1 zi P -R-1, R, I MARY, ROTtL 1665 s'", f al 10 $521,1,4 I I $1 Y'.. AlL N 2 I. T LOT 3 on e-., - 6 , ' d f "base 6 �oli�l -kto-all .'Va, S B.; C L -2F E c c' ati T6-cuTiahs,40+..- Hoi 60 -%C:,Oo TOTAL • f V 4 FEE. $ 00 s 4 216 4 0 CA' El� cx Y I ' 1,C ] _,ACT ... .. w �r. COUNTER L.U.T. 0.1 0 T�T 00; 0 or o 0 e. 13 TU Jqb b- U.1 03., M OUTA-HONS �e -.V PHONE di' - 0. 0 - - ab lb 41. it I - -.4, , PA Fti A. To f4d 44.: S� Ck"� T 1 0 1 pul STATEIZIP'. F� ii N,c A F UT'�l ap'Olic,61b 0' Il'l 0 N 1BLD R F!N 'I"' -ARCIENG FIRM:NAME 1 71 _N_ ICNC N ADDRESS CITY1COMMUNITYISTA El IP Z PLAN # PLANS EXAMINER %,JAPPROVE .DATE N 0 T -ZONE ORDp LOT SZ ENAE) S E c 0 k Sr IR, 0 c rl i U N FEE 25698 $.407. U0 P L�,UMB ING ;'r,,E plis,7. 0 0 r-.LE,cXRi6A,L F 15' E $2 .131 ,EQ f.A-L F I. T RF_F . UNb 'PLAIN REV, FEE $1 17:51 Y." si1S $4'1: 04 MTtROFALM $1.50 K valo" 1 zi P -R-1, R, I MARY, ROTtL 1665 s'", f al 10 $521,1,4 py P �1& t.� X9,01) $1 Y'.. AlL N 2 3 on e-., - 6 , ' d f "base 6 �oli�l -kto-all .'Va, C L -2F E c c' ati T6-cuTiahs,40+..- Hoi 60 -%C:,Oo TOTAL • f V 4 FEE. $ 00 s 4 216 4 0 CA' El� cx Y I ' 1,C ] COUNTE1 ] COUNTER L.U.T. 0.1 0 T�T 00; 0 or o 0 e. 13 TU Jqb b- U.1 03., M OUTA-HONS �e -.V t n Mi R Al G I U R 'A E.': 'R M- Mc 3 VX ­�') . Jv I. T T., c 0 sa $ 42 6 146 L y as , Z w u S, prl Vqa ope ON- 'EST I MWT i' Not. -to ,b 11 b6tcrip'ti-66. P, Gr UA�p Ft R a't 6 �'.,cc 0 _ *,� valo" 1 zi P -R-1, R, I MARY, ROTtL 1665 s'", f al 10 $521,1,4 py P �1& t.� X9,01) $1 Y'.. AlL N 2 3 on e-., - 6 , ' d f "base 6 �oli�l -kto-all .'Va, C L -2F E c c' ati T6-cuTiahs,40+..- Hoi 60 -%C:,Oo FF $ 00 vap", 4oler-4 0 dl �'.`A,CCMPRE,isis �:,S" 03`4->3-45l: OW -"Yll -.10 1 b.a 3 o. ",o FSI': FEJ :Wl�-1 ''1. 0.1 0 T�T 00; 0 or o 0 e. 13 TU Jqb b- U.1 03., M OUTA-HONS �e -.V J- F t.". 0. 0 - - ab lb 41. it I - -.4, , PA Fti 'Mi FEE 21 0 T-66m�'S I . lf, 1 pul F� ii N,c A F UT'�l ap'Olic,61b 0' x $4.00 A Al i "FEiFtC) IV ca 1, 1- C) Tn K K ff r- v V, 10 1& i W 1, OPY 1, A a T h FEE i -4-4 u ng 1 c a Zhu*4er i .,N ak i� 'R 'Dilidl i fl '"I 'Indus usi r% i a a, t e. r, e t a t, I n t e F C mai el- 0. He-'ater, Ursa ins oh FYoofs FEE i N9."-Sys,Pml*.11*, `tp 5'. Ou-tiet-W-1 -br-,Mone 0 u. T 1., .0 .0, 'W 6r!� A Pei hi -in, d- w t# I p:., I FEE Ao E E, I r Trowrtient' Eq v _E 'i'L FEE' Yl�*PLAW REV OtE !2 -INSPECTOR, FORM 284 08 . (11-81), $46 00 150 $2. $4,14 $1..50 V, IN NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS ' 1 Set Back 7 33 Ventilation System 2 Ftgs 8 Firms V A,3,1 34 Plenums 8 Ducts i 2A Slab Grade It i ev 35 Furnace Comport. 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks 7 Combustion Air or 5 Bond Beams 39 Compressor 6 Roof Deck 3arance Appl. Clearance 7 Framing— oziliq 0e, 4 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. P' t ADDITIONAL INFORMATION n SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth / 12 Internal Lothwr/ 12A Drywall G 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Fl .1 PLUMBING APPROVALS 15 Ground Plumb CM 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer a 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test✓ :1 t5a��l 25 Final - Tank Pit L.Line PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS ' PSI 26 Power Pole 27 Conduit 28 Service Entrance i 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service. 32 Final STREET NAME 4'P LItl P�Ti'.I YY Ii'1\FjMI) LORD` MM i 4� 0 $t9'0 AVE CDBREGC;N ' IT�(ICO T,€IZIP CW! ?5000G36 i RESSISPACE AVE i0 RJ 1Y1�.4i{: N 1 �9"iCO�U/�„$Tfj EIZIP 11.rY7 T�( ����ii C1 UFZ L., S4 6 6l�VTi/���N ...r.: ,LOT SB ,I .T�ACT'NA , 02 LAND Cd .PHONE.p '� ... I' AM CLOCK ' OWER PL gAw.wm-ISTATE/ZIP -"` ' CA X39230 . 0.'000 0U0 INSPECTOR : FINAL DATE- - ARCIENG FIRM NAME LICNC N - ADDRESS CITYICOMMUNITYISTATEIZIP PLAN N PLANS EXAMINER APPROVE DATE EO �W 11 L Ww"'9 IN .4� p r yi7,p w�786 LOT SZ "END 06rb . { I G:JU-LLJ � 'L,I C�`Y`� �; is ilf'.':77�iti 'IT I s A H. A P P.; L: A, C. A CIN C? NL 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. 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 (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 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 STREET NAME CANT NAME,JL, F, MI) A U 0 0 R -com NANITwSTATEIZIP EM, 4 bit -4 TE,ADDRESS/SPACE E xwoco ".,."—TY'STATEIZIP. I -PAG I. PRC . I C..I PN J,RNG ISE IS APPyPRMT-# •Pst DATE 34503 TRACT NAME ;j I 1A OWNER PHONE# lk hk4olt.' .1 ANn r CONTRACTOR -FIRM NAME, LICNC # ADDRESS t.orw Tnmrg p il., CITY/COMMUNITYISTATEIZIP PH oNEN BLDG. INSPECTOR FINAL DAT. E CIENG FIRM NAME NC # J.LIC I :ADDRESS PTYI.COMMUNITYISTATEIZIP "I'll ;PLAN# PLANS EXAMINER 7 APPROVE DATE V USE OF PERMIT; - - BL ZON FSB SSB SSBx RSB OFC, i TOTAL A FEE ZONE ORD # LOT SZ END SIDE CANC I: COUNTER B. COUNTER L.U.T. 3 4 E F31 'APPOCATION -F0R':.8-(,RUCtURAL- PLAN REv i r., w P P L'I C A T 1, 0 I a- A 'N AG H L Y l6v 'must see t h Q f-6 I'l o wing D'OpSo thdat s f l'i Wt o d:) f Or - concurrence a -0ermi.t- coin be* i d -i T, i.i. D es'ci r .on Teu.,to See A USE -E)AD. -HRALTH D J. �FqR�284.208(11.81) I.NSPECTOR - 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 IDA Fireplace T. 0. E] No ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 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