SATT (00019091)77651 Los Arboles Dr
00019091
TOTAL
FEE
SB
CA
TRACT NAME
pNl GUR
CAERUVdVA ..JOINT
HONE#
gJu.FIM) R ATI ON
ug',£g6 2
Mtn u"ISENHOWER DR
1CITylC0 N1TYl$iATEIZIP CA 922530000
RhIQN4q. .,,06"f4n — 11+31 5
!S o7 A
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC k
ADDRESS
CITVICOMMUNITVISTATEIZIP
PLAN #
PLANS EXAMINER
APPROVE. DATE
dWVDJIar. AJWLW •i ATT-GARAGE S$ g`l1 Y. -3
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fl/DV
6P"RrL) p 9 1 A 0 v / , 0Tb"-3 / 25863
FOR .'STRUCTURAL
RL1G1TURAL
PERl'#IT258531
T H 1 S' I s A M
A P P
1, 1 C A T
1 0 H O N L. Y
ti
TOTAL
FEE
CA
CK
NC
I COUNTER B.I.
COUNTERU.T. .
APPLICATION
FOR .'STRUCTURAL
RL1G1TURAL
PERl'#IT258531
T H 1 S' I s A M
A P P
1, 1 C A T
1 0 H O N L. Y
a
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATEINSPECTOR
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. C3
No
ADDITIONAL INFORMATION
i
I
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
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
❑ 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 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-
tion Laws of California.
f❑
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt Irom 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 five 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 lot sale (Sec. 7044, Business and Professions Code: The Contractor's License
t' Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
I 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.)
III. -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 contractor(s) licensed pursuant to the Con-
tractor's License Law.)
1,, 01 am exempt under Sec. . B.8 P.C. (Attach Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: 1 hereby allirm that I have a certificate of consent to self -insure, or a
j certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
;1 []Certified copy is hereby furnished.
'i ❑Certified copy is filed with the County Building Inspection Department or County Department.
(fDFUS BOX 780
PERMIT APPLICATION
dO614T151TRESSISPACE LOS
A!`i!iO ES
✓f
►w / RC7A3MG97«
ACOVe ill"WIP
2530000
PN I
QS2
County of Riverside
Department of Building and Safety
i R..eM"77'
4080 Lemon St. 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
Hemet. CA 92343 Perris. CA 92370
Indio. CA 92201 Blythe. CA 92225
Ph: 787.6146
Ph: 849-7312
Ph. 6584464 Ph: 657.3898
Ph: 342.8271 Ph: 922.2670
This permit becomes void if work not commenced within 180 days Irom date of issuance.
OR. it work has beer suspended or abandoned for a period of 180 days.
rONE N
❑ 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 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-
tion Laws of California.
f❑
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt Irom 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 five 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 lot sale (Sec. 7044, Business and Professions Code: The Contractor's License
t' Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
I 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.)
III. -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 contractor(s) licensed pursuant to the Con-
tractor's License Law.)
1,, 01 am exempt under Sec. . B.8 P.C. (Attach Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: 1 hereby allirm that I have a certificate of consent to self -insure, or a
j certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
;1 []Certified copy is hereby furnished.
'i ❑Certified copy is filed with the County Building Inspection Department or County Department.
Date Applicant
NOTICE TO APPLICANT: II, after makingthis Certillcate olExemption, 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:
Of 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.).
[]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 Ili' information given is correct. I agree to comply with all state laws and county ordinances relating to
building c (ruction, and ttlhorize a°gfdresemafive of the County of Riverside. Department of Building and. Safely
I o enter p e property for,WhiehA have applied for this permit for the purpose•of makiflig in pectlon5.,
Signature of Applicant or Agent Date
Print Applicant/Agent Name
flouId"T9091 IC10 0,15f2:Dri,02 , 2 582 9
7 L—L--
ESTIMATED PIAN REV IEE • i.
(fDFUS BOX 780
L °OwfwTwzlP CA 922530000
dO614T151TRESSISPACE LOS
A!`i!iO ES
✓f
►w / RC7A3MG97«
ACOVe ill"WIP
2530000
PN I
QS2
Inc//
i R..eM"77'
TAN
N
no
vo
S
47 yy
{% b 0 0 V V V
In
G Iii..
001!
SB
CA
Cl6!
1
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yNT WENTUR
0RROUVfl
rONE N
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pT/RR'1A1 ClT3/gqNCCFA:M.m/E F16pWPORA ION
33672
49991 EISENHOWER DR
.. F'f'C0W61 , TT4/64ATTEIZIP CA 922530000
{A —l11
3 i pC
9ION®N,,, 5L7.,,7 Yl v!
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC N
ADDRESS
CITYICOMMUNITYISTATEIZIP
P Ex INERp
AP VE PATE
P1LA NQN I !.' r s q / +
1✓✓?ffMM'—DWLG kR ATT A1 AGE P-3
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LOT SZ
END
0 Q wo
Date Applicant
NOTICE TO APPLICANT: II, after makingthis Certillcate olExemption, 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:
Of 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.).
[]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 Ili' information given is correct. I agree to comply with all state laws and county ordinances relating to
building c (ruction, and ttlhorize a°gfdresemafive of the County of Riverside. Department of Building and. Safely
I o enter p e property for,WhiehA have applied for this permit for the purpose•of makiflig in pectlon5.,
Signature of Applicant or Agent Date
Print Applicant/Agent Name
flouId"T9091 IC10 0,15f2:Dri,02 , 2 582 9
7 L—L--
ESTIMATED PIAN REV IEE • i.
/ TOTAL197
FEE
. b0
CA
Cl6!
1
INCC
COU E
COUNTER L.U.T.
r
r / PERMIT FOR STRUCTURAL PIAN REVIEW
TOTAL. PERMIT COST IS $177.60
! CONSTRUCTION ESTIMATE (NOTES Not to be used ars property valuation)
Description FCC Croup Type Sq Ft Rate Valuation
PRIMARY DWLG 101 R-3 WOOD 1093 $27.60 $52246
SECNDRY PRIGAR 436 M-1 WOOD 405 $9.10 $4413
Etat Plan Rev Fee based on Total Estimated Val l to of $56659 is i $197.60
FORM 284.208 (11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS i
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.O.
FI
ADDITIONAL INFORMATION
t '
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
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
APPLICANT NAME (L, F, MI)
Zjnp rage
ADDRESS
P O BOX 76101
CITY/COMdUNITY/STATEE1ZIP A (y ,[y p h
LA 1, INTA LA 7422530000
9111 JE .1ryf , PRESS/ SPP ACE LOS AR BOLES .!
ry- } p g /
TY/(C( +O W.x A ITIZIP CSW 2253000 V
631
380
.02i'J
3
TWN
r
0 60
UO
S
000000 Apia'
I
SB
TRACT NAME
4NRM
{W'dryI N9 VNTURy
HONE#
AAY FIg`6§EORATION
LIVUY 2
fi994791 DR
p giISENHOWER
[ y o a y y
LAOMMUN
f>JU1lYTIAZIP CA 72 30000
p
901"W-564-1-31-5,
BLDG. INSPECTOR
FINAL DATE
.ARC/ENG FIRM NAME
LICNC p
ADDRESS
CITY/COM MUN ITY/STATE/ZI P
.PLAN #
PLANS EXAMINER
APPROVE DATE
y g
USE OF PERMIT n p.y ry GARAGE
CONDO-DWLG & A i F GARAGE f' —3
0 0
REILZo1b
FSB
0 (110
0S6B0
07 84
y
D
ZONE ORD #
LOT SZ
END
0 0%
APPLIPRMTpPDATE
00017071
XhS05/26/19 2 7 1 A A
TOTAL .
FEE
CA I NC COUNTER 8.1. COUNTER L.U.T.
APPLICATION FOR .STRUCTURAL PLAN REVIEW
T H I O I S A N A P P L I C A T I 0 N 0 N L Y
You Mint zee the following Departments (id' listed) for concurrence BEFORE
_a Permit can be issuedi
Description----- ...._. ,. .------------ ....w_.. ...-------- . . .:.. . . - Dept t o See ..... ..
HOLD MHEALTH HEALTH
HOLD ROAD ROAD
1
FORM 2B4.208(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.O.
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