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00019028
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780
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`' °OMidUl1111dBTfffBIZIP CTA 922530000
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TRACT NAME
ryINT VEt
&"WYq ., JOINTTU
PHONE# Y
RNXf" F16G IPORAQION
72.
WE91E I SENHOWFIR DR
L'7AC°&vy"4TMZIP ry2530000
CA922530000
TOP9I.s.56Ll-1 x'3'1 5
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CIT,YICOMMUNITYISTATEIZI P
P^LAgNS EXAMINER
APPROVE DATE
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APPLI.ATiON FOR STRUCTUR4L PLAN REVI :w
{qyy P t Y C A
y/ yµ. n*,
Yo*u must see the following Departments (if listed) for concurrence BEFORE
a Permit can be issued t
Yiesc r° lot i o n_ .a.-----_.---ro.------ ----------------------- Peg -t t o See .. .
.,moLb-ROAD,' HEALTH LAND USE
FORM284.208(11-81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
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.
43 Final
10A
Fireplace T. 0.
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, .oftener.
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
Rr4 C))r-Tj7I" F61 ORATION '
tt
Q Bxs 8.0
1d't C tG N §aIP CA
9Aq 2 25310000
AVE/
:Y i ftFJ RES ISP -E AVE M1'VBJ I.lG4"1DA .
4CO'
41, 6jAfq/ZIP CA 922530000
WYd;3A
p8V
pCI8
'E Nl
5S0VyU
G C
371
9
IPAF 496 WD4:3
I
30k1
SB
TRACT NAME
t".1100110 -VA, JOI E y W
PHONE#
ri
/-w
LW96 2!
091991 EISENHOWER DR
L!V4cOdK /ZIP CA 922530000
IN4-564-.13-1 5
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC N
ADDRESS + -
CITY/COMMUNITY/STATE/ZIP
PLAN #,+PtLANSY
EXAMINER
APPROVE DATE
Ip S I,T,. D , & ATT UARAGE
00
R 40N
FSB
0 Doi
0 00.
0.060
w i D
ZONE ORD #
LOT SZ
END
0 0 t)D@
PR!MT50,213
671v13 `b 0502d7x'
TOTAL .
FEE
CA
CK
I NC
I COUNTER B.I.
COUNTER
APPLICATION. FOR STRUCTURAL PERMIT
T M Y 3 I S A N. A P P. L I C A T r 0 N U N L Y
t
f
e
.FORM 284.208 (1181) INSPECTOR
12,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs & 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.
43
Final
10A
Fireplace T.O.
NO
ADDITIONAL INFORMATION
,
)
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
Thick R
Value
7A Walls (Botts)
128 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
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
_P ❑ 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 (comment- pleted if 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.
r
Pi .OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
r following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to con-
, Strutt, 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 -
(nit subjects the applicant to a civil penalty 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 sate (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
•rl 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 yea4of 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 properly who
ybuilds or improves thereon, and who contracts for such projects with a conlractor(s) licensed pursuant to the Con -
.f, tractor's License Law.)
❑( am exempt under Sec. . B.8 P.C. (Attach Certificate).
F Date' Owner
'WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a
-bertificale of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.).
❑Certified copy is hereby furnished.
❑Cerlified copy is filed with the County Building Inspection Department or County Department.
Pft%TRAMX,r L,, ZT40RATION
s730
PtHMIT APPLICATION
VBIfOURESSISPACE AVE y DRUADA
WOWff iVZIP Ci922530000
County of Riverside
Department of Building and Safety
Ulis
4080 Lemon SI. 2nd Floor
Riverside. CA 92501
Ph: 787.6146
135 N. Alessandro Rd. Rm. 203
Banning, CA 92220
Ph: 849.7312
880 N. Slate Street 227 North "ll" Street
Hemet. CA 92343 Perris. CA 92370
Ph: 658.4464 Ph: 6573898
46-209 Oasis Si. Ruh. 310 160 N. Broadway
Indio. CA 92201 Blythe. CA 92225
Ph: 3428271 Ph: 922.2670
This permit becomes void it work not commenced
within 180 days from date of issuance.
OR. d work has beer suspended or abandoned for a period of 180 days.
_P ❑ 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 (comment- pleted if 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.
r
Pi .OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
r following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to con-
, Strutt, 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 -
(nit subjects the applicant to a civil penalty 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 sate (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
•rl 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 yea4of 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 properly who
ybuilds or improves thereon, and who contracts for such projects with a conlractor(s) licensed pursuant to the Con -
.f, tractor's License Law.)
❑( am exempt under Sec. . B.8 P.C. (Attach Certificate).
F Date' Owner
'WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a
-bertificale of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.).
❑Certified copy is hereby furnished.
❑Cerlified copy is filed with the County Building Inspection Department or County Department.
Pft%TRAMX,r L,, ZT40RATION
s730
TY4CO {WIPI9VCA922530000 22530000
VBIfOURESSISPACE AVE y DRUADA
WOWff iVZIP Ci922530000
P11,0
Ulis
I
U'FT4496 fb43°f
1
SB
TRACT NAME
W1NR
W4AMMlNryyNT V NTU
L HONE N
Flr y
ORATION
LiQ1YM 3672
#9991 EISENHOWER DR
.L COW DRIA!'91ZIP CA 922530000
7T'4'-!564-1315'
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC If
ADDRESS
CITYICOMMUNITYISTATEIZIP
PLAN pPLA
EX AMI R APP VIED E
DWLG 6 ATT WARAGE
@Wifff
Al
PN
FSB
Q f1 $ gb7
O U t1
o ll lD
ND
" ZONEORDN
LOTSZ
Dale Applicant __
NOTICE TO APPLICANT: II, after makingthis Certificate of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code. you must lorihwith 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 struc lure. 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.).
El As owner -builder. I will not employ anyone to do work which would require a permit from (he Division of In-
dustrial Salety. as noted above, unless such person has a permit to do such work Irom 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 in allgn given is corr¢cl. I agree IO comply with all state laws and county Ordinances relating 10
building ca ionan gthorize represenlative of the County of Riverside, Department df Building and Safety
to enter up proper rto' w ' hha`vte'applied for this permit for the purpose of making inspections.
Signature of Applicant Or Agent Date
Print Applicant/Agent Name
trOVITIP028 101.
ESTIMATED PLAN REV EEE
25812
TOTAL
/
a FEE
7hI.3cpa
CA
CI(•.
i
NC
COUNTER B.I,
COUNTER L,U.T..
y
ur ' t PERMIT PtiR STtt1t#C URAL PLAN REVIEW
TOTAL PERMIT CQS'i' is $169.32
I .
CONSTRUCTION ESTIMATE (NUTEs Not to be used as property valuation)
Description FCC Group T e Sq Ft Rate Valuation
PRIMARY AWLG 101 R--3 W89D 1401 $27.60 $4007;5 '
a SECNDRY PRI 'AR 43b • 1 WOOD 448 $9.10 $4076
E.satPlan Rey > ee based on 7ot Estimated Valltn of $44951 is : $169,32
FORM 284.208(11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
f 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
t 1
t
SEWAGE SYSTEM.SIZE & LOCATION
11 Exterior Loth
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
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
REAR OF PROPERTY LINE
P/L 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