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SATT (00019073)77578 Avenida Madrugada 00019073 AYMEWTUO F WS BOX 780 eWCOt$jJ ATS/ZIP4+A 922530-000 0ni90 dFMJViDRESSISPACE AVE MAARUGADA ETAC01 1 ;*jrIT 1 gIZIP CA 922530000 M } 38 0 fN a 9 TWN ©'7N 0 NE{ } S V4p6 TOTAL . • FEE SB CA NAME pTRRAACT 1 +y q airy ® a p lyw, -Yyn' 1g7'ERLV9./.(lAjA JOINT VEi : { 1 wPHONEp Pl I 1T 7 FIEF U'PORAT.EWN yL q ''SW 6i r 2) A?i r-ISENHOWER DR y .g oy p rt ! 17 CIACOa N AIZIP p.. A 922530000 1.r 4'1 i {1 /'/ 6',fl (y BLDG. INSPECTOR FINAL DATE ARRC/ENG FIRM NAME LICNC # ADDRESS" CITY/COMMUNITYISTATEIZIP ' PLAN # PLANS EXAMINER APPROVE DATE l,RfApbW- DWLG & ATT GARAGE .VL V 14 Z' 12 FSB (M l8 V ub ©uN . `l .iFA ,D ZONE ORD# LOT SZ END .•, bD6 3 AS' 05 28DYP,p 2 5 W 5 V TOTAL . • FEE CA CK NC COUNTER B.I. COUNTER L:U.T. APPLICATION FOR STRUCTURAL PERMIT THIS TS 'AN APPLICATIUN ONLY 13 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I 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. P' ADDITIONAL INFORMATION i 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 " O CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this j LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I am licensed under provisions of Chapter 9 (comment- permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. tion Laws of California. (1' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law lot the following reason (Sec. 7031.5. Business and Processions 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 - mil subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): AI, as owner of the property. or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered lot sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- ing that he did not build or improve lot the purpose of sale.) ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. r; 7044, Business and Processions Code: The Contractor's License Law does not apply to an owner of property who E builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- traclor's License Law.) ❑I am exempt under Sec. . 8.8 P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APLIC ENT NAME (6L 1 AND PDRUS BOX 780 PERMIT APPLICATION UJ5Q4]RESSISPACE ADRUGADA `` Id1 e,,yyLJ TYr($TtIVIP AVE'V G. ILTACO 1 CRA 922530000 NOW A County of Riverside Department of Building and Safety uMe 4080 Lemon Sr. 2nd Floor Riverside. CA 92501 135 N. Alessandro Rd. Am. 203 Banning. CA 92220 880 N. State Street 227 North "0" Street Hemel. CA 92343 Perris. CA 92370 46.209 Oasis SI. Am. 310 160 N. Broadway Indio. CA 92201 Blythe. CA 92225 Ph: 787-6146 Ph: 849.7312 Ph: 658.4464 Ph: 657.3898 Ph: 342.8271 Ph: 922.2670 This permit becomes void it work nor commenced within 180 days from date or issuance. OR, it work has beer suspended or abandoned for a period at 180 days. SB " O CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this j LICENSED CONTRACTORS DECLARATION: 1 hereby affirm that I am licensed under provisions of Chapter 9 (comment- permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. tion Laws of California. (1' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law lot the following reason (Sec. 7031.5. Business and Processions 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 - mil subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): AI, as owner of the property. or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered lot sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- ing that he did not build or improve lot the purpose of sale.) ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. r; 7044, Business and Processions Code: The Contractor's License Law does not apply to an owner of property who E builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- traclor's License Law.) ❑I am exempt under Sec. . 8.8 P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APLIC ENT NAME (6L 1 AND PDRUS BOX 780 pirli1-ti I 71 MITA CA 922530000 (9g UJ5Q4]RESSISPACE ADRUGADA `` Id1 e,,yyLJ TYr($TtIVIP AVE'V G. ILTACO 1 CRA 922530000 NOW A l Wi o uMe I TW Woo u0 I S U'FT4496 1 1 Y° 1 SB TRACT NAME • t y+q+Ny 1 VENTUR Ii lY S71 {A/ii 1 UpfR 01 ffit,fJ'AjJI tAQ r "PHONE N y nJ ANDM FI . ION tJpWy L y LIy7 J..7 it /2 #Mi EISENHOWER DR TY y l q ( TX°°fy1,Iv 1jJ ! IZIP CA 72L2530000 +/ 922530000 By(T,V-5 4— 1 .g q 5 • BLDG. INSPECTOR FINAL DATE A/ROIENG FIRMNAMEJ LICNC N ADDRESS CITYICOM M UNITYISTATEIZI P PLAN M P X R APPBO`VE IA`E 0dW9&DWLG Aii ATT GARAGE V 0 „ 9N,v 1ORD FSB 0 13 L( 0 V L7 0 U V A ` D ZONE N LOT SZ END 0 0 t7 V L- = — -— . _ _ uate _._ Applicant __ NOTICE TO APPLICANT: II, after makingthis Certificate of Exemption. you should became 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: 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 buildingstructure. scaffolding. lalsework, 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.). E) As owner -builder. I will not employ anyone to do work which would require a permit Irom the Division of In-, duslrial 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 lot the perfor- mance of the work lot 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 slate laws and county ordinances relating to building construption, and authdtize a representative of the County of Riverside. Department of Building and Safely to enter upon % the r rty Ior whiZh. hed for This permit for the pu pose of maki n(g,inspec ions. 011 Signature of Applicant Or Agent Date Print Applicant/Agent Name 00APPL 01T p7 ESTIMATED CPQ 0!3/0 , PLAN REV FEE 25821 C TOTAL . FEE $163.47 CA I CI ( I NC COUNTE COUNTER L.U.T. PERMIT FOR STRUCTURAL PLAN REVIEW 1 258 TOTAL PERMIT COST IS $163.47 .CONSTRUCTION ESTIMATE (NOTEi Not to be used as property valuation) Description FCC Group Type Sy Ft Rate Valuation PRIMARY DWLG 101 R_3 W69D 1390 $27.60 $38364 SEFNDRY PRIGAR 436 M-1 WOOD 440 $9 10 $4004 E%1 Ian Roy Fad based on Total. Estimated Val'tn of $42US isi $163.47 FORM 284.208 (11.81) 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. 0. FI . ADDITIONAL INFORMATION ' t SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 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 Flnal 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 "APPLICANT NAME (I., F, MI) ANDEN CORP DRESS i? 0 . BOX 780 CA 922530000 ESS/SPACE AVE MADRUGADA CiITYLCOr KIP CA 922530000' % Ijsbo phe i TWN wbo IUO Is TVA449I LUTO -.i VOA I SEI CA TRACT NAME ' ER iii A, :JOINT vi-ENTUR FHONE # ORATION 672. E§Sq 1 EISENHOWER Dn AZIP CA 922530000 P 01`4-5 6 4 - 3115, BLDG. f FINAL DATE AF(C/ENG FIRM NAME T77 ADDRESS CITY/COMMUNITY/STATE/ZIP "PLAN # PLANS EXAMINER j APPROVE DATE ..4,16WK-M&C & ATT r.AP.AGE 0 1 R 20- b - I FSB 1 0 YJ 80 0 Sd'0 1 0`510. ZONE ORD # I I LOT SZ I I I END APPLIPRMT # -DATE 0001707,; JXB 105/26/8-2 '27101 P' -4 TOTAL FEE CA CK INC.' I COUNTER B.I. COUNTER L.U.T. I . 1 271, APPLICATION F.OR.STRUCTLIRAL PLAN REVIEW T H T S I S A N. A. P P L I C A T 10 N 0 N L Y ..iYou most see the following Dopartments (if listed) for concurrence BEFORE a -Permit can be issaued i Description--- --------------------------------------- D .0 "HOLD HEALTH HE at -to se LTH HOLD ROAD ROAD Al :FORM 284-208 1 NSPECOR 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. 0. ❑ 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) 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 Woter. Servioe 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