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SATT (00019066)77538 Avenida Madrugada 00019066 AP.PLICATION FOR S11 ,. Tw'IB. I AN ADPL Y -OU,. -.Must see the following Departments di 'fermitcan be issued s MfJl;,,i)--ROAD r WEALTH FORM 280.268 (11,81] I I SSPECT OK UUT 780 L.. KOlo,M`A" rAZIP CA 92253000.0 MADRUGADA AVE►°1 Y'(CA ( EESSSISPACE . ' DACOI Q IQ11b1'd$T AZIP j 1ST db (pij jjP 922530000 . t ' .5 N i7 b u o S , lA T4496 UT048 u i l SB 'TRACT NAME Irp R OI'M M A JOINT VENT PHONE # CONTRACTOR -FIRM NAME - LICNC p ADDRESS CITYICOMMUNITYISTATEIZIP - .PHONE# BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC p ADDRESS CITYICOMMUNITYISTATEIZIP - - PLAN # PLANS EXAMINER APPROVE DATE uUJKjVbT-DWLG ATT GARAGE 0 pZ N FSB W l7 03:1 Q%U I.F►t ZONE ORD # LOT SZ END I it 0SUb. AP.PLICATION FOR S11 ,. Tw'IB. I AN ADPL Y -OU,. -.Must see the following Departments di 'fermitcan be issued s MfJl;,,i)--ROAD r WEALTH FORM 280.268 (11,81] I I SSPECT OK 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 & 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. 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 17A Walls (Batts) 128 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 r1:k. 5 "18 Aq Ty A y r g y {1 n t' .. 1T1 co U 1 1Ti 1 g/ZIP,,,.,- CA Y 2E:. {30 0 0 0 V51!311-suRESSISPACE AVE MADRUG p D S LW0 %iCrwzlP CA 922530000' `b t40 W'a 7 TWN YV© q No S IT449 6 Ub$8 I 00f se CA TRACT NAME LVWR 1UjrIQW41T'AfNV y1VENTVR PHONE# PQKFIjryRA ION 6 7 2 W-7-7 1 .EIS NHOWT.E:R DR LWOW CA 922530000 .j11N4#; 5 L 4 ^ q.; •p q pLM 71"40-564-1-315- k 7 Jl BLDG: INSPECTOR FINAL DATE ARRC/ENG FIRM NAME Y LICNC # ADDRESS TY/COMMUNITY/STATE/ZIP T `- PLAN # PLANS EXAMINER APPROVE DATE :• ,o r R 2N FSB o tfb o U b Q N U .. AFAD s ZONE ORD # LOT SZ END t' h $jD VVU lRb"T"yo6 6 JAB0'5/;2ED7b225851 TOTAL . FEE CA CK NC COUNTER B.I. COUNTER L.U.T. APPLICATION FOR 'STRUCTURAL PERMIT 1 .258 T H i 8 x S A N A P P L I G A T I 0 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 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. 0. OP'N NO. ADDITIONAL INFORMATION . a 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 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 PERMIT APPLICATION County of Riverside Department of Building and Safety ' 4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Stale Street 227 North "0" Street%' 46.209 Oasis SI. Rm. 310 160 N. Broadway - Riverside. CA 92501 Banning. CA 92220 Hemel CA 92343 Perris, CA 92370 Indio. CA 92201 Blythe, CA 92225 Ph: 7876146 Ph: 849.7312 Ph: 658.4464 Ph: 6573898 Ph: 342-8271 Ph: 9222670 - This permit becomes void it work not commenced within 180 days from date of issuance. OR. it work has beer suspended or abandoned for a period of 180 days. i1 V CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be corn - LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment. pleted it the permit is for one hundred ($100) or less. I Certily 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. ❑ Date Applicant J.OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the NOTICE TO APPLICANT: If, alter makinglhis 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; following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to con- deemed revoked. sirucl. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such 4"91; EISENHOWER DR permit to lite 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- 01 hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend, will empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- be made in connection with work authorized by this permit. and that no building structure, scaffolding, fafsework, mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341, ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the Title B. C.A.C. ). ,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 a permit Irom the Division of In - Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or dusirial Salety. 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 for sale. ll, however, O M U the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- ❑ Division of Industrial Safely Permit No. -ling that he did not build or improve for the purpose of sale.) - I . ❑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- 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who mance of the work for 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- Lender's Name k tractor's License Law.) Lender's Address ❑I am exempt under Sec. BA P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm 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. ❑Certified copy is filed with the County Building Inspection Department or County Department. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate that the illlormalion given is correct. I agree to comply with all state laws and county ordinances relating to building cgn sfr tion, =Jtgorize ,replesentalive of the County of Riverside, Department of Building nd Safety to enter upon t e oper'tylar yflat e applied for this permit for the purpose of making inspectlons..,i o Signature of Applicant or Agent Date Applicant/Agent Name iJt7Syry06Gf c" W l20IT::i G. ESTIMATED PLAN REV FEE Wks 71 l 77 0 qyE p t y EWCOQi1I ff T1 AE/ZIP CA 94.•f2530 V 0 0 drOB hTE3tYRESSISPACE AVE4J {. MADRi'GADA 1'YYf'. i t CiAE C T: RI Cww077aq?ii1MUJ.NirgTriTZIP {:450 I MM 922530000 22530 0 0 0 1 d., j TWN n o i1 V S U 1&4496 .11b48 V 1 d SB TRACT NAME 49R0i„A, IYT VC NTUR JOINT » HONE N pME F1rWiORATION U.T53672 4"91; EISENHOWER DR &COyA17gizip CA 722530000 iN41" 5 A A— d 3 i 5 l .:7 A 1.7 BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC q ADDRESS CITYICOM MUNITYISTATE/ZIP' PLAN AP ROVE ATE tf $ .q ifI ftp w 4 y gplei R- lg..Wyf1C3/:,F{TDWILG & AT 1 YL V R 6'IN FSB $gg PY►' gAggGE 'O Fi V O M U g V V ,LAD p q y I . ZONEORDq LOT SZ END o0n CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate that the illlormalion given is correct. I agree to comply with all state laws and county ordinances relating to building cgn sfr tion, =Jtgorize ,replesentalive of the County of Riverside, Department of Building nd Safety to enter upon t e oper'tylar yflat e applied for this permit for the purpose of making inspectlons..,i o Signature of Applicant or Agent Date Applicant/Agent Name iJt7Syry06Gf c" W l20IT::i G. ESTIMATED PLAN REV FEE 2-5817 9.32 TOTAL FEE $1 69 ! 7,2 CA CXNC I'` COUNT€R . , COUNTER L.U.T. PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL PERMIT COST IS $169.32 CONSTRUCTION ESTIMATE (NOTE; Na, to be used as property valuation) Description FCC Group Tyq a Sq Ft Hate Valuation PRIMARY DWLG 101 R-3 WOGD 1401 $27.60 $40875 SCCNDRY PRIGAR 436 M-1 WOOD 448 $9 10 $4076 Est Plan Rev Fear Cared on Total Estimated VaIlTn oP $44' 51 ist $169.;52 FORM 284.208 (1181) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs 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.O. No ADDITIONAL INFORMATION i T 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 j 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 k - 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME