SATT (00019095)77611 Los Arboles Dr
00019095
CA
TRACT NAME
ERPHONEp
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IM,91 ElSeNHOWER DR
cwcojv1mwxiZIP I wCA 922*30 0 0 0
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INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC p
ADDRESS
CITYICOMMUNITY/STATEIZIP
.PLAN pPLANS
EXAMINER
APPROVE DATE '
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TOTAL .
FEE
CA
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NC
I COUNTER B.I.
COUNTER L.U.T. ,
APPLICATION FOR 'STRUC'TURAL PE."RMIT
T H I S I W A N. A'F V- L I C'A' T. 1 O N O N L Y
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 P. L. CD
43
Final '
IDA
Fireplace T.O. C]
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)
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
County of Riverside
Department of Building and Safety
4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Sm. 203 880 N. Slate Street
227 North -D" Street 46.209 Oasis St. Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning, CA 92220 Hemet. 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 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.
❑
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 Chapter9 (comment-
pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this
ing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect.
permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
lion Laws of California.
❑
Date _ Applicant
r
w OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
NOTICE TO APPLICANT: II, after makingthis 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
reason (Sec. 7031.5. Business and Prolessions Code: Any city or county which requires a permit to con-
deemed revoked.
following
struct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
LI . J54i 072
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-
•, empt Iherelrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
❑I hereby certify that no excavation five (5) or more feet in depth into which person is required to descend. will
rp'•mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
in connection with work authorized by This permit. and that n
building structure. scaffolding,
Art
LICNC p
or demoadelition
or demolition or dismantling thereof. will be more than thirty-six (36) feel high. (Chap. 3.2, Grp 2. Art 2. Sec 34 t,
t
feet 2. . Sec 41,
❑ 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.).
,i 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 from Division In
Law does not apply to an owner of property who builds or improves thereon, and who does such work himsell or
a permit the of -
duslrial 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 lot sale. If, however.
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.)
U011)d
i 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-
,QI,
'r 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who
mance of the work lot 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-
tractor's License Law.)
❑I am exempt under Sec. BA P.C. (Attach Certificate).
Date Owner
Y
? 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.
K
❑Certified copy is tiled with the County Building Inspection Department or County Department.
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K:_f4CO 'W'4' J4TEIZIP C V2253 2 5
.IB'SUE RESSISPACE R„ 15
O r#%ZIP CA Y225.50000
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TRACT NAME
WAIIIER ) 1 JUJI1,11,41
HONER
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CO 4zIP CA 922U301106
9 PQ— J(7 a9 BLDG.
INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC p
ADDRESS
CITY ICOM M U N ITYISTATEIZI P
PLAN M P EX NER—
AP O+VE PA`E
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END
Lender's Name _
Lender's Address
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cerlily I have read this application and slate
that the i7a for ion given is correct. I agree to comply with all slate laws and county ordinances relating to
building c p ru ion, and authorriziz'''ea representative of the County of Riverside. Department of Building and Safety
I. enter up lfi th r perty f r whlph I ?,presentative
applied for This permit for the purpose of makinq_inspeCtions.
X (ptw, ff'_
Signature of Applicant or Agent Date
Print Applicant/Agent Name
V01W1 09 CU
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1. Z5Up%-3
i~ -
TOTAL
FEE
t►+
CA
CW
NC
COUNTER B.I.
C
COUNTER L.U.T.
.
PERMIT FOR STRUCTURAL PLAN REVIEW
f TOTAL PERMIT CUSS' IS $197.60
CONSTRUCTION ESTIMATE (NOTEs Not to be used as property valuation)
Description FCC Group T e Sq Ft Rate Valuation
PRIMARY DWLG 101 R-••3 WOOD 1893 $27.60 $52246
3E:CNDRY PRIGAR 436 M-1 (WOOD AOs $9.10 $4413
Est Men Rev Fee baud on Total Estimated Val'tn of $56659 is; $197.60
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 & 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. 0
43
Final
IDA
Fireplace T.O. E]
No
ADDITIONAL INFORMATION
^
T
l
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
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
APPLICANT NAME (L, F M "
(AtppiWpp ([tt1)E 1 rM3 YRS rI 4)17
A
C.ACOWjT°jYjSATE/ZIP
2253 V 0 0 V
CA 9122530
1110IEgpRESSISPACE yUS qSTES
ETACOVJ ,WJE/ZIP
CA 922530000
i*; 1
30 0
n-8
TW
N 0
X016 0
fit
S
UTT4496 JWD86
1
1071
SB
CA
TRACT NAME
.
q
HONEfR0MF 1q,qq, JOINT VEN[UR P
PVjVE?#-FIL116A i ORATION
L:°i ,a;3672
ITj VV9I IUJJITyEISEN ROWER DR
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ACOtb% I IV i AIZIP CA '` 2253 V V 0 0
7'rV-5 L A,,,, 1 X.i
•t w7 b
AARC/ENG
BLDG. INSPECTOR
FINAL DATE
FIRM NAME
LICNC N
'ADDRESS
CITY/COMMUNITY/STATE/ZIP ,
PLAN p
PLANS EXAMINER
APPROVE DATE-
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APPL/PRMT N PS DATE 25801
000190T5 AS
I
1
TOTAL .
FEE '
CA
CK
NC
COUNTER B.I.
COUNTER L.U.T.
APPLICATION FOR STRl.lC`i'URAL, PLAN REVIEW
T Ht I S I S A N! A P P L I C A T 1 0 Nd 0 N3 L Y
• You must. see the following Dopartment% (i,4 Listed) for concurrence BEFORE:
a Permit can be issued t
Desc.r t i cin µ- . _.. ... ».. .__,W, .. ...,. ... a,_ . ..... De T to see .w
HOLD• -ROAD r M ALTHi LAN USE:
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. 0
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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
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