Loading...
ELEC (00017247)77575 Avenida Madrugada 00017247 PERMIT APPLICATION County of Riverside Department of Building and Safety / 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 1r r. Riverside. CA 92501 Banning. CA 92220 Hemet, CA 92343 Ph: 787.6145 . . Ph: 849.7312 Ph: 658.4464 I This permit becomes void if work not commenced within 180 days from date of issuance. OR. d work has beer sus Ir O 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 ellect. 'OWNER -BUILDER DECLARATION: I hereby affirm (hat 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- ,.5truct, alter, improve. demolish• or repair any structure. prior to its issuance, also requires the applicant lot 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 t0 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 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 himsell or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Ts•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.) ;• ❑l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. r ,7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who 4 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- aractor's License Law.) irlI am exempt under Sec. . B.& P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, Ora a certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.). 1` ❑Certified copy is hereby furnished. f< r- ❑Certified copy is filed with the County Building Inspection Department or County Department. -I fii`llAl iV,Eli,.t kPORAT', ON r 99k'75 AVE MADRUGAUA pITv4 M_y1U(J AT[yT1/zIP CA 922530000 J fVI.MIJ SS/SPACE AVE MA1DRUGADA CITY COMMUNITY CA 922530000 BLO.K , 1 PAG PRC C TWN RING SE S 1773 OP, . 01117 oo0 00 '000000 0212 Oi 1 -- TRACT NAME r(ry py g ly y ry p ,i 14ftl VI(L. 7tli VliA !•4 1♦ PHONEN CONTRACTOR -FIRM NAME ` LICNC p t1 ADDRESS CITY/COMMUNITYISTATE/ZIP ' PHONE rI DATE ARCIENG FIRM NAME LICNC ADDRESS CITYICOMMUNITY/STATE/ZIP PLAN M UIPLMS EXAMINER I APPROVE DATE 100 AMP SERV --LIGHTS & IRRIGATION Z4N FSB NDI 0 ON osd o O♦j•BO V ZONE ORD p LOTSZ V uu ENSIDE 000 227 North ''D Street 46.209 Oasis SI. Rm. 310 160 N. Broadway Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 657.3898 Ph: 342.8271 Ph: 9222670 pended or abandoned for a period of 180 days. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-- pleted it the permit is lot 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 APPLICANT: II..afler 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 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 Ihirly-six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341, Title 8. C.A.C.). 0 A owner -builder, I will not employ anyone to do work which would require a permit from the Division of In- dustrial Salety. 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 lot 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 information given is correct. I agree to comply with all state laws and county ordinances relating to build'b c struction, and authorize a representative of the County of Riverside. Department of Building and Safety to enlet. S the p1perIy for which I hav applied lot this permit for the purpose of making inspections. X _ - 7 Signature of Applicaril br Agent Date Print Applicant/Agent Name VPWUT'7' 247 16 04; 9A,JEa2 LTJ IELECTRICAL FEE $18,00 1 IADD IRRIGATION FEE $7.50 1 E L E C T R I C A L P E R M I T TOTAL PERMIT COST IS $:25.«50 ELECTRICAL. FEE COMPUTATIONS * Permit Fee (if applicable) No of Un;i.tsi 19 Service Vaitst o Service, Aspps--1 z 100 Service Amps -2i 0 Service Amps -3i ADD IRRIGATI IN FEE FORM 284.208(1187) INSPECTOR TOTAL,a. FEE COUNTER L.U.T. FEE; PEES 0 EEE $3.00 $10.0© $5.00 $7.50 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. 43 Final IDA Fireplace T.O. 0 OWN 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 Pluir b_ 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 q I&( .k4jEVAPORATION A`P ADDRESS. 77575 . AVE MAD4' UGADA CITY/COM MUN ITY/STATE/ZI P LA G!UINTA CA 922 530000 M 0'9 J!YB IIE AD RESSISPACE AV MA ADA CIITYIICOMMUNITY/STATE/ZIP ' LA QU.INTA CA 922530000 BOK 77;31022 PAG - PRC 01l C 7 TWN Goo. RNGSE 00 S TRACT LOTMOD 00 0.0.0 0 Kn ool I SB TRACT NAME (L "ORP ORV91•.6m WNW PHONE# CONTRACTOR -FIRM NAME LICNC # ADDRESS .• CITY/COMMUNITY/STATE/ZIP PHONE # BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # ADDRESS CITY/COMMUNITY/STATE/ZIP PLAN # PLANS EXAMINER APPROVE DATE USE OF PERMIT - ' -100 AMP SERV °t 1.C/ glry g1 'Sn I IR,RG`(T'GAiIf yi, q 0 0 o ( IGN FSB V VBV OTO 01.0 ►1.0 OND ZONE ORD# LOT SZ - END V OSV017 ' t7 PUM24 9 042' t .1C:. 26894 TOTAL . FEE ' CA CK NC COUNTER 8.1, COUNTER L.U.T. } APPLICATION FOR ELECTRICAL PERMIT :, T t i I S I S. A' N s A- P P t.. I t:A 7' I p N U N L. if r- 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 & 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 Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 1 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Pfumb 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 298 Bonding 30, Fixtures 31 Service 32 Final STREET NAME