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SOTB (00003626)77599 Avenida Madrugada 00003626 APPLICANT NAME (L, F, MI) AftEN CUP ADDRESS CI /C NIT - JOB SITE ADDRESS/SPACE CITY/COMMUNITY/STATE/ZIP k BOK PAG PRC C TWN RNG SE S '6 TRA T LO MOD SB TRACT NAME OWNER NAME (L, F. MI) t CONTRACTOR -FIRM NAME ADDRESS CITY!CO MM UN I TY/STATE/ZI P PHONE 9 LICNC N ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP , PHONE p LICNC N USE OF PERMIT +;. UL ZQN' SSB - SSB RSB OFC ZONE # ''LO SZ END I E N . APPUPRMT p PS DATE 001580 i ti I 1 ' 1 TOTAL . FEE INPFI EQR S COPY 01580 `x'#419 1 AN A'PP Lx;cAT 10N 0Ly NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR T 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 10A Fireplace T.O. °o _------. 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 rcmm� —6m—un County of Riverside Department of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "D" Street 46.209 Oasis St. Rm. 310 160 N. Broadway Riverside, CA 92501 Banning, 2220 CA 9Hemet. CA 92343 Perris, CA 92370 Indio, CA 92201 Blythe, CA 9222 5 Ph: 787.6146 Ph: &737312 Ph: 658.4464 Ph: 657.3898 Ph: 342.8271 Ph: 922.2670 This permit becomes void if work not commenced within 180 days from date of Issuance. OR, if work has been suspended or abandoned for a period of 160 days. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed If the with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. permit is for one hundred (5100) or less. I certify that In the performance of the work for which this permit Is issued, I MOD SB shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. License Class Lic. Number Date Applicant Date Contractor NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the following Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, C I Th7C O M M U N I T Y/STATE/ZIP improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing [:) I hereby certify that no excavation five 5) or more (set in depth into which a person is required to descend, will be by with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil made In connection with work authorized this permit, and that no buildino structure, scaffolding. Ialsework, or demolition or dismantling thereof, will be more than thir(36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, ry•six penalty of not more than five hundred dollars ($500).): C.A.C.) ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law safety, as noted above, unless such person has a permit to do such work from that division. does not apply to an owner of property who builds or improves thereon, and who does such work himself or through ❑ Division of Industrial Safety Permit No. his own employees, provided that such Improvements are not intended or offered for sale. IL however, the building or Date Applicant improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the performance of SSB I SSB RSB I OFC the work for which this permit is issued (Sec. 3097, Civ. C.). t, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Lender's Name Ainess and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors Lender's Address License Law.). I certify that I have read this application and state that the above information is correct. I agree to comply with all O 1 am exempt under Sec. B. 8 P.C. (Attach Certificate), city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date Owner _ WORKERS' COMPENSATION DECLARATION: I hereby allirm that I have a certificate of consent to sell -insure, or a Signature of Applicant or Agent Date certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.). CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that the Policy No. Company information given is correct. I agree to comply with all slate laws and county ordinances relating to building con- struction, and authorize a representative of the County of Riverside. Department of Building and Safety to enter upon Certified copy is hereby furnished. the properly for which.) have applied for this permit for the purpose of making inspections. Certified copy is filed with'the County Building Inspection Department or County Department. DA I' Signature of Applicant or Agent Date ate pp scant APPLICANT NAME (L, F, MI) AfiRFN CORP / IT 1 In' 30000 IT / ACE IT / M NITY/STATE/ZIP AVE MADRUGAIDA IN 8IFFIC I C TW S 1WAdT4 'f LO MOD SB TRA T NAMt: OWNER NAME (L, F. MI) CONTRA -FIRM NAME ADDRESS C I Th7C O M M U N I T Y/STATE/ZIP PHONE N LICNC x ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP . PHONE a LICNC e USE OF PERMIT SSB I SSB RSB I OFC ZONE e L END }1, FORM 284-208 (2/81) Print Applicant/Agent Name , 1 APPL/PRMT a PS DATE 00 1 5H 0 APP�S Po STRVGYURAI PERK* FEE APPLICATION FOR STRUCTURAL PERMIT T H I S x 6 A N A P P L I C A T 1 0 N 0 N L Y 001580 APPLICANT NAME (L, F, MI) I T ` - ADDRE S CI C IT AAMHOWER JOB SITE ADDRESS/SPACE Valuation T / NITY/STATE/ZIP $53726 AVE MADRUCADA UUK C TW S9 S T LOT MOD SB lo 014494 TRACT NAME 00171 '14 OWNER NAME (L, F. MI) MECHANICAL FEE COKPUTATIONS * 4 of Porrsitst 1 at 43.00 Each FEE: CONTRACTOR -FIRM NAME VENT-wFanss07 Evop Cool*rtOO HoodsOl OtMersO MisctOQ FEET ADDRESS APPLIANCE—Installationt00 *epairsOO Dryors0! Othert00 FEEv CITY/COMMUNITY/STATE/ZIP COMPREBSO*MwO-3 HPt01 )3--13tO1 )13-30s40 >30-5009 )50t00 FEEL PHONE N HEATING SYSTEM•of-100 001 STUs02 100,001 or More STUs00 ELECTRICAL FEE FEEL LICNC N COMPUTATIONS * 4 of Pornitst 1 at $3.00 Each ARC/ENG FIRM NAME $3.00 KYT Unitst 0 Amp/Volt Srvct M of Ash /Volo 4 FEE ADDRESS 47.00 ADD' L t 2296 Sq, F t . Residence 0 . 00 Fors ggq . F t . 439 Sq. Ft. CITY/COMMUNITY/STATE/ZIP $28.70 Garage 8 .01 P*r 5q. Ft. PLUMBING PHONE N $3.44 FEE COMPUTATIONS *** 4 a Poratits t 1 at $4.00 Each LICNC N 44.00 USE OF PERMIT Wale 8a tnert 0 Marcher (Aura/Duch): 2 Garbag* Dis s 1 Ki.tc 1 Laundr Tray 0 Urinals S SSB SSB RSB OF R2 ZONE ORD N fled Alml an On In, IT m LOT Sz, END I APPL/PRMT NPS DATE11 362A I .. - r . !9_1 09/3910681 CONSTRUCTION F69 4 -3 2__ 22w -8 0- FLUMBTmr- FEE S&R. 58 ELECTRICAL FRE 0 14 CHI Fry 44 TOTAL fj1.5'Zg aa- FEE 44 Vo _ 1NVf1CYQR$..-COPY STRUCTURAL t BUILDING ) P E R M I T ` - TOTAL PERMIT COST IS $470.52 CONSTRUCTION ESTIMATE (NOTE: Not to ba used as prtrporty valuation) Description FCC Group Typo 9 Ft Rate PRIMARY DWLG %296 Valuation 0001 R-3 V -N $23.40 $53726 SECNDRY RR GAR 0001 M 9D ,p 4S? . 0 * a534 $7 SECHDRY AIRCON 0021 R_3 R 229& 41.90 $4362 Construction Felt basted on Total Actual Valuation of $62712 i*t $322.00 MECHANICAL FEE COKPUTATIONS * 4 of Porrsitst 1 at 43.00 Each FEE: 43,00 VENT-wFanss07 Evop Cool*rtOO HoodsOl OtMersO MisctOQ FEET 417.00 APPLIANCE—Installationt00 *epairsOO Dryors0! Othert00 FEEv $3.00 COMPREBSO*MwO-3 HPt01 )3--13tO1 )13-30s40 >30-5009 )50t00 FEEL 411.50 HEATING SYSTEM•of-100 001 STUs02 100,001 or More STUs00 ELECTRICAL FEE FEEL 48.00 COMPUTATIONS * 4 of Pornitst 1 at $3.00 Each FEEL $3.00 KYT Unitst 0 Amp/Volt Srvct M of Ash /Volo 4 FEE FEEL 47.00 ADD' L t 2296 Sq, F t . Residence 0 . 00 Fors ggq . F t . 439 Sq. Ft. FEE t $28.70 Garage 8 .01 P*r 5q. Ft. PLUMBING FEEL $3.44 FEE COMPUTATIONS *** 4 a Poratits t 1 at $4.00 Each FEE t 44.00 FIXTURES -Bar Sink: 1 Drinkin Fntns 0 Flr Draint 0 Wale 8a tnert 0 Marcher (Aura/Duch): 2 Garbag* Dis s 1 Ki.tc 1 Laundr Tray 0 Urinals on in t t 0 kttr Close 1 4 Didett Lavator s b Shoaert Tuba 3 0 Other► 0 FEEL $45.00 SEWER --B dg/Tr*ilor Parks 1 Indust Waste Prtwtiraat Iniorcpt s 0 FEEL ♦3.50 t r H tartar 1 °4 of Drains o Roofs 8 JAKPWOut, FEE $a .50 S19TEM- 1 to r 1 b or ilar e Out rets t 0 FE t R.SOS EIA 5 4i, FORM 284-208 (2/81) NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back ✓ .01 33 Ventilation System 2 Figs 8 Frms 34 Plenums 8 Ducts _ 2A Slab Grade / 35 Furnace Comport. 3 Steel ✓ ( _ 44 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance Aj 7 Framing 4 Fire Damper 8 Vents 3 3._ 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final 10A Fireplace T.O. Ej °oADDITIONAL INFO ATIO 1 /f/ 1 7 ( '✓_ ' --- - - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 2. o 12 Internal Lath 12A Drywall 13 Finish Grade -' /-' INSULATION Thick I,R Value 7A Walls (Batts) 128 Ceiling (Batts) ,. 12C Ceiling (Blown) 14 Final - ' - - - - PLUMBING APPRO ALS - - - - • - - 15 Ground Plumb ci 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 3 _.b7 29A Grounding Wire - 29B Bonding C. 30 Fixtures 31 Service 32 Final STREET NAME