00016006 GradingPtNMIT 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 -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: 922.2670
This permil becomes void if work not commenced within 180 days from date of issuance. OR. it work has beer suspended or abandoned for a period of 180 days.
❑
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be co
' LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed udder provisions of Chapter 9 (comment-
pleled if the permit is for one hondred ($100) or less. I certify that in the performance of the work for which Ih
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, l shall not employ any person in any manner so as to become subject to the Workers' Compens
tion Laws of California. .
El-
Dale Applicant
1.NOTICE
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
TO APPLICANT: It, alter 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 to
following reason (Sec.`7031.5, Business and Prolessions Code: Any city or county which requires a permit to Con-
deemed revoked,
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 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-
❑I hereby certify than no ration five (5) dr more feet into which person is required to descend. wit
empi 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 penalty of not more than live hunderd dollars ($500).):
with w
made in connection with work authorized t. and
zetl by this permit, and that n
t i
building structure, scaffolding.
PHONE #
or will
or demolition or dismantling IhereoL will be more Than Thirty-six (36) feel high. (Chap. 3.2, Grp 2. Art 2. Sec 341,
feel 2. rt . Sec 41
❑ 1, 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 Safety. as noted above, unless such person has a permit to do such worK from the division.
through his own employees. provided that such improvements are not intended or offered for sale. It, however,
- APPROVE DATE
the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
❑.Division of Industrial Safety Permit No.
ing that he did not build or improve for the purpose of sale.)
Of, as owner of the property, 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 .
❑I am exempt under Sec. , BA P.C. (Altach Certificate).
Date Owner
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certily I have read this application and slate
vSIDE
that the information given is correct. I agree to comply with all state laws and county ordinances relating to
WORKERS' COMPENSATION DECLARATION: I hereby allirm that 1 have a cerlilicale of consent toself-insure, ora
building construction, and authorize a representative of the County of Riverside, Department of Building and Safety
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
to enter upon the property for which .I have applied for This permit for the purpose of making inspections.
❑Certified copy is hereby furnished.
X
/�
❑Certified copy is filed with the County Building Inspection Department or County Department.
Signature of Applicant or Agent Date
APPLICANT NAME (L, F. MI) '
KEVIN MANNING
ADDRESS-. - 4945" EISENHOWER DR
CIN/COMMUNITYISTATEIZIP '
LA QU7NTA CA 922530000
JOB4,SIT�(r•D,�ORESSISPACE AVEA�yf[ RECON
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CITYICOMMUNITYISTATE/ZIP.
LA QUINTA -CA 92,530000
BOK
631
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CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITY/COMMUNITYISTATEIZIP -
PHONE #
BLDG. INSPECTOR , •
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FINAL DATE.
ARC/ENG FIRM NAME
LIC, C 11 6
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ADDRESS ,
CITYICOMMUNITY/STATE/ZIP
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PLAN #
PLANS EXAMINER
- APPROVE DATE
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Print Applicant/Agent Name
APPU.PRM . _
1n016V06'.
.
�
DATE
04/07/8 26448
TOTAL .
FEE ' '
CA
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NC
I COUNTER B.I.
COUNTER L.U.T.
APPLxcA`r1ON FOR GRADING PLAN REVIEW
T IS I A`N AP.P'LICAT10'N 0NLY.
FORM 284-208 111-81) ASSESSOR
APPLICANT
K,EVTgN�
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CITYICO(M�M`U`NIITYISTA/T�EIZIP%
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PHONEM
a. .QONTRACTOR• FIRM NAME
LICNC p
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L. 1 C A T. S
ADDRESS
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'.CITYICOM MUNITYISTATE21P
"S. -PH ONE# BLDG: INSPECTOR.FINAL PATE
ARCIENG FIRM NAME
- .ADDRESS-
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Ii CITY/COMMUNITY/STATE/ZIP
PLAN# -
PLANS EXAMINER
- APPROVE DATE'".
OF
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..INSPECTOR
-
-
CORM z8a _zoa`I„ B,i
. f
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 Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace,::: •'.R.L.
43
Final
IDA
Fireplace T.O.
OP'N
NO.
ADDITIONAL INFORMATION
V
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
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
Abff
IK
,,.•F s. m.,:
i GI i'IC,OKH,I!G d:.l�i i. ,/ZIP
CA 742: 530 00 V
.
BLDG. INSPECTOR' '.
..
' ARC/ENG FIRM NAME
LL .
f.
CA 'VR E55 Q.U 0 U
` P l t8o
4
CITY/COMMUNITY/STATE/ZIP -0 04)..
;o
PLAN #
� � ,•
PLANS EXAMINER ..
APPROVE DATE':
,TAW
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PHONE# t.
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LICNC #
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FORM 280208 (11 t81) 1195 C 1 OR 's
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y'PHONE #
BLDG. INSPECTOR' '.
FINAL DATE -
' ARC/ENG FIRM NAME
LL .
at" ADDRESS
CITY/COMMUNITY/STATE/ZIP -0 04)..
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PLAN #
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PLANS EXAMINER ..
APPROVE DATE':
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FORM 280208 (11 t81) 1195 C 1 OR 's
�_.. .. },
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NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Ftgs 6 Frms
34
Plenums 8 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.
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)
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
PERMIT APPLICATION
Count of
Riverside
Department of Building
and Safety.
4080 Lemon St. 2nd Floor 4 135 N. Alessandro Rd. Rm. 203 880 N. Stale Street
227 North "0" Street 46.209 Basis St. Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning. CA 92220 Hemel. CA 92343
Perris. CA 92370 Indio. CA 92201 Blythe. CA 92215
Ph: 787.046 Ph: 849.7312 Ph: 658.4464
Ph: 657.3898 Ph: 342.8271 Ph: 922.2670
This permit becomes 46 it work not commenced within 180 days from date of issuance. OR, it work has beer suspended
or abandoned to . r a period . of 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 (commenc-
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. I.shall not employ any person in any manner so as to become subject to the Workers' Compensa-
with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect.
tion
tion Laws of California.
Uale Applicant
OWNER -BUILDER DECLARATION: I hereby affirm that I am.exempi from the Contractor's License Law for the
NOTICE TO APPLICAN r: 11, 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
following reason (Sec. 7031.5. Business and Professions Code: Any city or counly.which requires a permit to con-
deemed revoked.
s1ruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
permit to life a signed statement that he is licensed pursuant to the provisions of,the Contractor's License Law
DIVISIONDFANDUSTRIAL SAFETY PERMIT CERTIFICATION:
(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 fora per-
Of hereby cer , lily that no excavation live (5) or more feet in depth into which a person is required to descend. will
mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
be made inconneclion 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) feet high. (Chap. 3.2, Grp 2. Art 2. Sec 341. -
0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
Title B. C.A.C.). I
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
.
El As owner -builder. I will not employ anyone to do work which would require a 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
permit
dustrial Salely, as noted above, unless such person has a permit to do such work from the division.
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 6wner- builder will have the burden of prov:
❑Division of Industrial Safely Permit No.
ing that he did not build or improve for the purpose of sale.)
01, as owner of the property, 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 perior-
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 contraclor(s) licensed pursuant to the Con-
Lender's Name
tractor's License Law.)
Lender's Address
01 am exempt under Sec. B.&P.C. (Attach Certificate).
Date Owner
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state
that the inlormationi given is correct. I agree to comply with all stale laws and county ordinances relating to
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, ora
certificate of Workers' Compensation Insurance. or a Certified copy thereof (Sec. 3800. Lab.
building construction. and authorize a representative of the County of Riverside. Department of Building and Salety
to enter upon the properly,lor which I have applied for this permit for the purpose of aking inspections.
Elcertilied copy is hereby furnished.
E] I Certified copy is filed with the County Building Inspection Department or County; -Department.
Signature of Applicant or Agent Date
Print Applicanl/Agenl Name
^
APPLICANT NAME (L,.F, MI)
APPL/PRMT # PS DATE
..�Ijf I L N
Kr MANN ING
'1300 16006 V GO 04/o d, / wl__� 264494
GRADING PON REV1F.W FRE
I
40KESS
499 EISENHOWER DR
CIWCOIM ' TATE/ZIP
I 4MIS 1A CA 9-225'30000
W_DFIESSISPACE
VIA AVC OBIREGON
cl
CWCUTNIARZIP, CA 9 22 J 3 0 O'D 0
POA 0 aNL,: qE. s
P &
031 JA0 617 S ON 7, 0
fflo 0100 LOT APT I SB
43ACT NP
EF If
EARMA"LL1,M) LAND.. CO_ ING
CONTRACTOR -FIRM NAME LICNC If
MUNITYISTATEIZIP
. I PHONE# .1 .. I BLDG.
ARC/ENG FIRM NAME ILIAq It
PLAN If PLAW-1E AYYER I A;r
>; Pe r/
CU YDS
BLO. RVN FSB 0 6b Vb.TOFEETAL
110FAD ri,�
ZONE ORD # LOT SZ I END 1V 6 SI C r CK INC COUNTEP Bir., COUNTER L.U.T.
:.� _
RADJNG VLnN nFW 1 2
PC MIt D"6.1116 11 EVI
TOTAL PER�111' Ii SGI 0 0 0
of Lots 10 CU YD.13-Cot # 0 F ii 1 ai30 'fatal Nveds 211,30
Grading Plan Revieti Fee (based on cubic ydv4 Clit and Fltlledti fi,;,ij $?0 1 00 -
11
FORM 284-208 (11.81) !NSPECTOR
"I._
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
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
Firepidce,, :,' •` P.L. 0
43
Final
10A
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
I1 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts) t'•
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
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
in-