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SATT (00019033)77508 Avenida Madrugada 00019033 Pfl`IIIC M W :905s 780 l»TiWOvvMT-.wZIP CA 922530000 Jr;UOVESS/SPACE - AVE. MADRUUA A LITvFOwU Trwe ZIP CA 922530000' 31 360 1 UPS 3w - TWN (woo V0 S 'bAf T449'0TV pppp(J 4 ppgi ` N d SB TRACT NAME 4r - W,'47J6 IYp y A t JOINT vEN uR HONE11 pJ "A "FIFBeRE ORA {ION 9 LII 6 % 2 49991 EISENHOWER. Did f«P owzwr ZIP ... _ CA ?22530000 I0M-564-1315 r BLDG. INSPECTOR FINAL DATE - ARC/ENG FIRM NAME LICNC a ADDRESS CITYICOMMUNITYISTATE/ZIP PLAN # PLANS EXAMINER APPROVE DATE `.e0NlY -"DWLC -ATT. GAR' V 47A RLON FSB OVIO 01" 016EO X7Y ZONEORD# LOT SZ END VWLI 27079 TOTAL . FEE CA CK NC COUNTER B.I. COUNTER L.U.T. APPLICATION FOR STRUCTURAL PLAN REVIEW T Pi t S 13 A N A P P L I C A T 1 0 N O N L Y You must. see tete foll•owinq Departments (if listed) foe concurrence BEFORE a Permit can be issued i Descr i tion .»._ .. -------------------------------- _Dep t to See ----- HOLD-R-OADr W AL.TM LARD U13E ,FORM 284@O8(1L81) 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. ❑ OP'N NO. 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 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 e STREET NAME i^ ipry/p fpp k yyf' 't1 '~Q.F(L tI i.Ir`G ` yp •' ET)(CO&hvf1j tA/ZIP Iyr VA tnYg2 iA2i.530000 dl j T,Fy id R6E`SSSISPACE AV1-17"(L/RUGADA AVE q q, T '/cobtpqu,[JUT ;=r =€aIP CA 922530000 (:70 Iw7 oKs-13 TWN V W V W 6Eo S u 9 4496 l45 a 08 Z 1 SB TRACT NAME pp9ER p3 yWbNT VENTUR :PHONEqUU . FV6 4000100RAT ION Llw' a767116+ 1T 91 EISENHOWER DR ((1(`, y{ JJ ewCOjvldu l{NI TxIrS.rNT. EIZIP CA 922530000 4A4 71 t ',, Qj ((INE b 31 5' BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC 0 ADDRESS CITYICOMMUNITYISTATEIZIP . PLAN N PLANS EXAMINER APPROVE DATE !.UNb"--DWLC; ATT. GARAi. E 9LQ IJ (G N FSB , V t7 b (7 1J {► O 191tP J,FFAd ZONE ORD N LOT SZ END 0 0 Syl 6 AP,P (CATION FOR STRUCTURAL PF.--. MIT TMI-S .18 AN APPLICAT10N 0 N L Y FORM 284.208.(,,.8,). 1 NSPECTOR 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 Slob 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. C] 43 Final IDA Fireplace T.O. 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 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 STREET NAME ❑ LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. EJ 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 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 penalty of not more than live hunderd dollars ($500).): ' ❑ I, 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 Prolessions Code: The Contractor's License Law does not apply to an owner of properly 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 prov- 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. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves Thereon, and who contracts for such projects with a contractor(s) licensed pursuant to The Con- tractor's License Law.) Of am exempt under Sec. B.8 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.). ❑Certified copy is hereby furnished. ❑Certified copy is tiled with the County Building Inspection Department or County Department. DT (u,ySTy}U7 19 0 PERMIT APPLICATION 0Y® B +WDREESS/SPACE AVE MADRUGADA 7yC0WNy4 T{tH/21P CA 922530000 i 1 County of Riverside Maa8 ITWN Department of Building and Safety n o 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "0" Street 46209 Oasis Sl. 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: 3428271 Ph: 9222670 This permit becomes void if work not commenced within 180 days from dale at issuance. OR. if work has beer suspended or abandoned lot a period of 180 days, VQN'Y.__-1564„y, 1 3 15 .BLDG. L w7 R ..i ❑ LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. EJ 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 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 penalty of not more than live hunderd dollars ($500).): ' ❑ I, 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 Prolessions Code: The Contractor's License Law does not apply to an owner of properly 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 prov- 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. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves Thereon, and who contracts for such projects with a contractor(s) licensed pursuant to The Con- tractor's License Law.) Of am exempt under Sec. B.8 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.). ❑Certified copy is hereby furnished. ❑Certified copy is tiled with the County Building Inspection Department or County Department. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- 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- tion Laws of California. Date _ Applicant _ NOTICE TO APPLICANF: If, 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 be deemed revoked. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: of hereby certify that no excavation live (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 Irom the Division of In- dustrial Safety. as noted above. unless such person has a permit to do such work from the division. C] 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 CERTIFICAV 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 t0 building conA if, ion, anckaulhoriz a.r presentalive of the County of Riverside, Department of Building and Safety I o enter uppo Irperly foi" w ch ve applied for this permit for the purpose of makin in ecNonsr Signature of Applicant or Agent Date Print Applicant/Agent Name GpOld"T"?033 ESTIMATED DT (u,ySTy}U7 19 0 p7E p 1r / ( ( :r3' C04 I.i RIYTi A'ZIP CA 7'2422530000 0Y® B +WDREESS/SPACE AVE MADRUGADA 7yC0WNy4 T{tH/21P CA 922530000 i 1 i30 Maa8 ITWN n o n0 s i^ T445}(a Vb43 I "1 SS TRACT NAME LV1j F1pU0, IA , JOIN OIN T VEN R ;PHONE # MIME% ORATIOiN A9VV91 EISENHOWER DR ETACOMINTWIF, Cit 922530000 VQN'Y.__-1564„y, 1 3 15 .BLDG. L w7 R ..i INSPECTOR FINAL DATE ARCI/ENG FIRM NAME LICNC p ADDRESS CITY/COMMUNITY/STATE/ZIP PLAN NP `r EX ER . li V ISO(X/ Wf1rf;0T-DWL C sir ATT. yGA GR gA GEy UO RLO+N FSB (JUi► ()V0 gg 000 ©pp Q, D ZONE ORD N LOT SZ END 0 0 SID& CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- 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- tion Laws of California. Date _ Applicant _ NOTICE TO APPLICANF: If, 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 be deemed revoked. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: of hereby certify that no excavation live (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 Irom the Division of In- dustrial Safety. as noted above. unless such person has a permit to do such work from the division. C] 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 CERTIFICAV 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 t0 building conA if, ion, anckaulhoriz a.r presentalive of the County of Riverside, Department of Building and Safety I o enter uppo Irperly foi" w ch ve applied for this permit for the purpose of makin in ecNonsr Signature of Applicant or Agent Date Print Applicant/Agent Name GpOld"T"?033 ESTIMATED Cog -0:5r20P1162 25814 PLAN REV FEL v 45,4.44, TOTAL . FEE $163 . 47 CA CIS( NC COU Ift ER B%COLINTER L.U.T. q l PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL PERMIT COST IS $163.47 CONSTRUCTION ESTIMATE (NOTE: Not to be used as property Description FCC Group Type Sq Et PRIMARY DWLG 101 R-3 WOOD 11390 r-CNDRY P•RIGAR 436 M-11 WOOD 440 Est Plan R6v Frye tweed on Total Estimated Val'tn of FORM 284 -208(11 -II INSPECTOR TOR valuation) Rate Valuation $27.60 $30364 $42368 is: 4$163.47 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:r ' 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. P' ADDITIONAL INFORMATION .. . - _ ' _ "' ' — _ , SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick ..R. • _ Value 7A Wolls (Batts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 FI .1 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