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00006600 (SFD)APPLICANT NAME A' F -DANAVA A WOR "i -bad` CFAMNIMTO #.r CA 922600004 Anut; ESSISPACE AVE MEGUN, Cv-yA0M=1WTwIP C%7 0 0 0 0 lj�,. PAJ PR� c • TWN MeCHANICAL FECt- SE S TP6% 0 0 0 Lj 0001--R-1. SMI Fee 21 V $237.60 TWC,WMEI(39 SCV LAQ 191 OpnelilE 19)t, UeR if DEVELOPMENT C Dole.- " M, kP Cf�AJ.MRNI4!f 320L_ , $9.10, r WS -4-3 6 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE # ?0 � LICNP # 0, uOUMI, ATT GAR Bb a 0 AM STRUCTU064., BUILDIMM PCMIT TOTAL :- I � -1 .1r-1 FEE 'I I..' $833150 Ot ZONE ORD # LOT SZ `E� 01 SID� 01 o,,, APPL/PRMT # ps DATE Nat to COWSTOUCTION Fee 3 33 f, 'D 0 valuall woativn $3 .-Detcrip-tion `\ FCC- CLCCT91CAL OFM Tyr MeCHANICAL FECt- $47.06 -P�1-'MARY OWL0 0001--R-1. SMI Fee 21 V $237.60 $3342.3 §ECHORY P91GAW,. Dole.- " M, WD 320L_ , $9.10, $29 � a SECCNDDI!�ZYY� AIRCON AIRCON 02111 * J 02 'R R I �Rl v - ?0 � - *26'64 - I , 0 AM STRUCTU064., BUILDIMM PCMIT TOTAL :- I � -1 .1r-1 FEE INSPECTOR'S COPY 011228 S T ft u c 'U I R A L A BUILDING P. E -P M TOTAL PER1411' COST lii-3 $318.:;x;. "do-WaTRuCTION csvxMATEANOTKi� 111L Nat to be used as property valuall woativn .-Detcrip-tion `\ FCC- croup Tyr S! Pt Rate a -P�1-'MARY OWL0 0001--R-1. 21 V $237.60 $3342.3 §ECHORY P91GAW,. Dole.- " M, WD 320L_ , $9.10, $29 � a SECCNDDI!�ZYY� AIRCON AIRCON 02111 * J 02 'R R I �Rl v - ?0 � - *26'64 - I , 0 AM iso ,t Coets-trivetion Fee bie is ed ori Tuv,ak' Actual Valuation. -.of r�-38999 fait $833150 HAf4TCAL,`PF-iC, COMPUTAT IONS, e* 40f perolls I I alt $4.0-Uach q. ENTF` #*,0n%%00 Evap Coo ri0ft -Houd 10 1 Other H -Ac: 100 APPLIAVCE=0111%tallationsOO Rep 4''; air -.00 Dryeri0l 010erj(JU- C f4 RCS' -f,; RW,430-3, "P101 >15"30100 )ZO-Sot-0-:0 )%-Otoo I or "or Tu 0 0 67, 8,$TEM--1-1y0 0,01' 9TW01, pe �11, 13 EL CMICAL, fCLr COMPOAUONS 4 0 of %I I at $ cokach rwMl T :U"U. AMV /Volt %-qcT 4 of•Amo/V61t4 -q A 11 12Sq.ResidOnce !v % 0075 Per' S Ft U9 S, $rt 0 9 :0125 Per, SO !�ILUKOIWG -F-Et'COMPUT01, , F XXT Oft, �,a"Vr -'s i n k 1 0 DrInUinj Fpfin 1 0 FIr Draipl 0 V ' W41101�* roof Iner 1 0 Washerl .,(Au-t1u/D wh)i I Gar b a CIIeDisp I' I. ,�,-Ki,mhen Sktik,t .1 LaunOr Ir ina I 1 0 t4tr wt 1 2 ;zLava,voi-yi Z - Sh a wer Y -Trub' T idett-9 0.t tj 00% 3 6 DO I i I Tanh t'D U-4 o- 10 1p �A- I 11�nl 6 6f W 4i -to 0 inq i - Water Trealf4ent Equipil ip''and/" tr ESE I . I . 4 K I -F� C t F Ell E P k cl, FEE I E i FREI Faro , me; *3 , 00 *31. 00 43.00 $1b.14 12.40 $10.1'0 $2.50 $2.7121 NO. �' OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 17—,? 33 Ventilation System 2 Ftgs 6 FrmsZ� 34 Plenums & Ducts '7 r (' 2A Slob Grade yp 2 35 Furnace Comport. 3 Steel W s L<, If 2- 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck -� 39 Appl. Clearance 7 Framing I ^y 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Grnage Fire Wall e / 42 Commercial Hood 10 Fireplace P.L. u 43 Final 10A Fireplace T. 0. °o ADDITIONAL INFORMATION nQv ` I 2' / 0e l P C 2 14. S - - -+ - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath� 12 Internal Lath — --- _ 12A Drywoll - _ '1-3 -Finish Grade - INSULATION Thick a Value 7A Walls (Batts) 12B Ceiling (Batts) ! O 12C Ceiling (Blown) 14 Final _ 3 15 Ground Plumb / _ r 16 Water Piping 17 Rough Plumb 2 18 Vents 19 Sewage Disposal 2 ^, v c. 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final 3, Tank ,,VZ i Pit L. line REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L `joav p p-y (vl 4 . Vt, - a 1_ P/ r - 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures - 31 Service 32 Final STREET NAME .1 a W Z 3 O c1.-* o� W IXo Or Z_ �- OLL J Q N in cd � F IL Z W z z a J O IL O Z z~ za aW J d r "IF APPLICATION FOR TREE PLANTING I (we), the undersigned,- hereby certify and acknowledge that I (we) have read the application and agree that if trees are 'required under River- side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is -understood that no final inspectiol�i will be given until said requirements have been met or exception has been granted by the County. Now, therefore, itis agreed that the prog:- erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County, of Riverside shall assume no responsibility should trees have to be removed due to lot line errors. / / �/ 1, Owner's Name pc'll0m T)PSPrt T)Py Co Building Permit No. .4 7-2-y" Mailing Address 'R r) IG38 CityPai7m Desert StatCA Zip9226o ox �S Ave ObrP on uinta Job Address �.,, .g CommunityL�_Q Legal Description lot 9 blk 189 SCV LA Q19 Assessor's Map, Book & Page -724-114-o14 Type StructurAWlg Type of Soil ScUld Is water available Yes Road Dept. Plot Plan No. Type of existing trees in road right-of-way Trees preferred by applicant (1) tamarisk palm Date Owner's Signature Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Chi InpRis 1inParis(Do sprt willnw,l5¢a1.RI'7A Number of trees_ Spacing of trees Distance from lot lines: Front Side Additional requirements Street tree should be 2' inside richt 6f way and a minimum of 10' from driveway. Date Building and Safety notified 1/18/82 Signature D.M. REQUEST FOR EXCEPTION Reason (attach additional page if necessary) Request for hearing: YES Owner's Signature (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept: Concur ❑ Non -concur M Explanation Date Signature Road Dept. Concur Non -Concur ❑ Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Date hearing notice mailed to owner Approved 0 Disapproved Date Owner notified of decision Date Building & Safety notified, Signature Nf'iWKW ORN Ins 16313 jgAj KU16MERt CA 922600000 SBy gi RESS/SPACE AVE �/ OBRt ON FIT��j/j CCOO�I TMAg/ZIP �y w� (� /� n y� CA�j, 7 A22530 0 0 0 Y4,4 Ti 4 i 4 1 TWN 45 0 V t7: S 0�0 W SB ;Ia�e��ti�ll �I jWb09 �ry4 .f .� tJ A1y99 aC LAQ 191 g" .M"IMEU'e�ER l DEVELOPMENT OPMENT C' J?WR4tJW NMR t4 URS 1638 Wi.Gl9 u7 ME0IT CA 922600000 VY'V-368-1049 I rfloe436 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE # LICNC M PERMIT FUR STRUCTURAL: PLAN NMI ATT CAR 00 A -f 41, 20, ows lie's 6TO �F�YI ZONE ORD p I LOT SZ long 0110 VP6/90'46Q ESTIMATED PLAN RCV FEE s $145.9 ,1 w' I PERMIT FUR STRUCTURAL: PLAN RIS Ewe TOTAL FEE PERMIT FOR STRUCTURAL PLAN PEVIEW TOTAL PERMIT COST IS $145,92 CONSTRUCTION ESTIMATE (NO"lEt Not to be used as property valuation) Description FCC Group T a 1"i? Et Rate Valuation PRIMARY UWLG 0001 R-3 V�• 12t 1 *A7160 $35423 SECHDRY PRIM 0012 M WD 320 x19.10 $2912 Est Plain Rev Pee !rased on Total. Estimated Vall to Of $36:6315 1s s $145.92 FORM 284.208 (2/81( 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 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] °a ADDITIONAL INFORMATION -r 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-------- PPROVALS-_______15 15Ground 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 P/L P/ 26 Power Pole 27 Conduit • 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service ' 32 Final t STREET NAME rtnmii Rrruuenun County of Riverside Department of Building and Safety 4080' Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "D" Street 45209 Oasis St. Rm. 310 160 N. Broadway Riverside. CA 92501 Banning, CA 92220 Hemet. CA 92343 Perris. CA 42370 Indio. CA 92201 Blythe. CA 92225 Ph: 787-6146 Ph: 849.7312 Ph: 6554464 Ph: 6657.3898 Ph: 342-8271 Ph 922-2670 This permit becomes void if work not commenced within 180 days from date of issuance. OR, if work has been suspended or abandoned for a period of 180 days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Date Contractor Lic. Number 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 construct. 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 Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).): r • C] 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 proving that he did not build or improve for the purpose of sale.). PI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, siness 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 Contractor's License Law.). 0 1 am exempt under Sec. . B. & 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.). Policy No. Company ❑ Certified copy is hereby furnished. O Certified copy is filed with' the County Building Inspection Department or County Department. Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the permit is for one hundred ($100) or less. 1 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' Compensation 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: I 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) feet high. (Chap 3.2. Grp 2. Art 2, Sec 341, Title 8. C.A.C.) IAs owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial a ety, as noted above, unless such person has a permit to do such work from that division. E] Division of Industrial Safety Permit No. Date Applicant CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3091. Civ. C.). Lender's Name - Lender's Address I certify that I have read this aVplication and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction• and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Signature of Applicant or Agent Date 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 con- struction)and authorize a represer�ative of the County of Riverside. Department of Building and Safety to enter upon 1 the pro erty for which,Yhave a)iplI, J for lois it for the purpose of making inspections. .-Signatur of pp or or Agep)`-'•� • _ _ -• Date • % Y l•> PriPf Applicant/Ag nt Name ;• � s A i _ .i -y i'ya„k••�"" PERMIAPPLICATION ' r (� County side County of Riverside p Department o Buildingand Safety M 4080 Lemon St. 2nd Floor 135 N. AleSsandro�ld. Am. 203. 880 N. State Street 227 North "D" Street 46.209 Oasis St. R; 310. 160 N. Broadway Riverside. CA 92501 Banning,: CA 9222(t� Hemet, CA 92343 P ris, CA 92370 Indio, CA 92201 Blythe. CA 92225 Ph: 787.6146 Ph: 848:1312 +'- Ph: 658.4464 r� 651-3898 , Ph:' 342.8271 Ph: ,922.2670 This permit becomes void if work not commences within 180 days from date of issuance, OR, it workhis been st ded or abandoned for a period of 180 days. r .. LICENSED CONTRACTORS DECLARATION: - I hereby affirm that I am licensed under provisions of Chapter 9 (commencing • CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the with Section 7000) of Division 3 of the Business and Professions Code: -and my license is in full force and effect. -'.-;� 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' Compensation Laws of California. License Class Lic. Number r .,,. - -� • . - `Date Applicant Date Contractor 5 - NOTICE TO APPLICANT: It, 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 following J Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be reason (Sec, 7031.5. Business and Professions Code: Any city or county which requires a permit to construct, alter. deemed revoked. , Improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing 0 1 hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend, will be with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2, Art 2, Sec 341, Title 8, penalty of not more than five hundred dollars (5500).): -. , C.A.C.) •: ' I, as owner of the property, or my employees with wages asrtheir sole compensation, will do the work, and the 0 As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial ,a'ety, as noted above, unless such has a to do such work from that division. sTructure is not intended or allered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law S? does not apply to an owner of property who builds or improves thereon, and who does such work himself or through person permit r Division of Industrial Safety Permit No. his own employees, provided that such improvements are not intended or offered for sale. If, however, the building ors ` improvementApplicant improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not - build or improve for the purpose of sale.)., •' CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the. performance of ZONE ORD 4 the work for which this permit is issued (Sec. 3097, Civ. C.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Psiness Lenders Name and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or 66,10 improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's Lender's Address License Law.).• ' I certify that I have read this application and state that the above informationis correct. I agree to comply with all • city and county ordinances and state laws relating to building construction, and hereby authorize representatives of I am exempt under Sec. . B. & P.C. (Attach Certificate). -, this county to enter upon the above-mentioned property for inspection purposes. Date Owner _ WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a Signature of Applicant or Agent r Date . certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. Q. 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 con - Policy No. Company Y struction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon Certified copy is hereby furnished. the property for which. have applied for this permit for the purpose of making inspections. Certified copy is filed with'the County Building Inspection Department or County • Department. Signature of Applicant or Agent - Date . Date Applicant -•. :..._ Print Applicant/Agent Name HORN .'T. pD DWpIRIEy�fSnvr'INIL, 1638•, ' FAg1�MuldM. Ift GA •,922600080 , Y4V 9%lI�.T.FaP,t , .RESS/SPACE ` AVE OBR CGON ` pIT °°op41�ty4yT � /ZIP CA 02 30000• N. V4�l T14PVC, R i TWN 0 S sa T,t ('189 KV.'LAQ 191 p� p� P-6i� "MEDL"� tR T I?�. V L r'W' 1' MENT •.0 -• JJiXf4KftN4 NA'6RN MRS 1 wis .. � 1TAIT 1t 501 IT OA 9*2) 600000 ARC/ENG FIRM NAME • ' ADDRESS CITY/COMMUNITY/STATE/ZIP - PHONE n LICNC N tlI i. VRM& AT:T GAR 00 01 d2o OW5 UV1; 6 0 - HT1 ZONE ORD 4 LOT SZ 66,10 0 $I 0 APPLxbATTUR 'F6R STRVCTURAL PLAN REVIEW ASSESSOR COPY, TOTAL T L 001.9.1 • APPLICATION FOR STRUCTURAL. P,LAN.' REVIEW T H I -I.". A N A •P P L. .x• C A T. I O, N .O N L. Y e off( Ae�"° '; '• � . ,: ,,� /��'�� 011'`' " /% "�/P� 1 t t" ' s PERMIT APPLICATION County of Riverside �M a Department Building Safety o1 and 4080 Lemon St. 2nd Floor 135 N. A fan_ ro Rd. Rm. 203 880 N. State Street Riverside. CA 92501 Banning,'"C CA 227 North 'D" Street 46.209 Oasis St. Rm. 310 160 N. Broadway Perris, CA CA r Hemet, 92343 Ph: 787.6146 Ph 849-7312 Ph: 658-4464 92370 Indio, 92201 Blythe. CA 92225 Ph 657.3898 Ph: 342.8271 Ph: 922-2670 This permit becomes void if work not commenced�ithin 180 days from date of issuance, OR, if work hit. been sus led or abandoned for a period of 180 days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am liceNed-under provisions of Chapter g cemmenging CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce and effect. permit is for one hundred ($700) or less. I certify that in the performance of the work for which this permit is issued, I } ~� `L shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. License Class Lic. Numbery�--` �..w»---_'".e Date Applicant Date Contractor" 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 following Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, deemed revoked. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing [] I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for 'the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil 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) feet high. (Chap 3.2, Grp 2, Art 2. Sec 341, Title 8, penalty of not more than five hundred dollars ($500).): - C.A.C.) I, as owner of the property. or my.emplayees with wages as their sole compensation, will do the work, and the ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such has a to do such work from that division. 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 person permit Division of Industrial Safety Permit No. his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Date Applicant improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097. Civ. C.). I, as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Lender's Name usiness and Professions Cade: 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 Contractors Lender's Address License Law.). I certify that I have read this application and state that the above information is correct. I agree to comply with all city,and county ordinances and state laws relating to building construction, and hereby representatives I am exempt under Sec. . B. 8 P.C. (Attach Certificate). - authorize of this county to enter upon the above-mentioned property for inspection purposes. Date Owner _ WORKERS' COMPENSATION DECLARATION: I hereby alfirm that I have a certificate of consent to sell -insure, or a Signature of Applicant or Agent Date certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.). CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the Policy No. Company Certified copy is hereby furnished. 0 Certified copy is filed with'the County Building Inspection Department or County Department. Date Applicant - - DAi A MR N pAq��k,Ly' #URS 1631101 - '�A1° CA . 922600 000 '91VRESS/SPACE Avg 011IR r`CON X58 LI TACOgit#41Yr+TAA/ZIP CA 922530000 7741T141914111 ITWN 4l a 0 1 0 S 11610800 1 Yu 0 9 W1# SB ftKNA1489 SCv LAQ 191 %A LIH.EW, ERT DEVELOPMENT C 0ANP Y It NH'G R N DONS 1638 PIAMUTESfor CA 922600000 V114-068-10481 I WM436 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP - PHONE 4 LICNC 4 OWLF SRM& ATT CAR 101,1 1 RC, #fail 1 QQ5 1 1I41_5 UT 0 J j) ZONE ORO n I LOT SZ Ono o 0 1"00 information given is correct.- I agree to comply with all state laws and county ordinances relating to building con- struction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon the property for which.) have applied for this permit for the purpose of making inspections. Signature of .Applicant or Agent Date . Print Applicant/Agent Name �eua a✓��:]-001914 APPLICATION FUR STRUCTURAL PLAN REVIEW U.S. CENSUS COPY TOTAL FEE APPl.,IsaA7 0 M FOR STRUCTURAL FLAN REVIEW id x$ AN AP'PLICAT=1Q.N 0 N L Y 001914 TOTAL FEE S 00191.4 APP13CATION FOR STRUCTURAL Pl;,AU RiV. . . H -..x 8 1 a A .td A t' t, t iA. T 1 0 H 0 Pt', IL Y W1,636 jVAe'FrUVt%WoFr CA 922,6000410 pSaByjffRESS/SPACE AVE �gBR.�+pa�!��N i9�0 4! 6A:a19{•77225300ub lwTi'iCCJG71'•�} /ZIP ` �g `' as �w�:/ 4 i 1 4 �!� F 4 'A � TWN ODD D D 1 0., S #b o 0 o ivo 0 Sia ) I SB �pp'p�ggpp��377"p"I9��' 1��»VELOPMEN'T 'C' . pyi�O ;MIRS 1.630 PrAtcWuV9%T'*.V'T CA 092600000 ARC/ENG FIRM NAME :ADDRESS CITY% OMMUNITY/STATE/ZIP PHONE # LICNC » ' URMR A t T OAR ' 00 IfT . 920 095 191. VTO TRA ZONE ORD # LOT SZ - —'106,50 p6A two TOTAL FEE S 00191.4 APP13CATION FOR STRUCTURAL Pl;,AU RiV. . . H -..x 8 1 a A .td A t' t, t iA. T 1 0 H 0 Pt', IL Y r a , r 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 D 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. °o ADDITIONAL INFORMATION ' SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 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 P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole 27 Conduit f 28 Service Entrance 29 Wiring 1�•. 29A Grounding Wire } e4 • 29B Bonding S '- 30 Fixtures 31 Service 32 Final STREET NAME