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SATT (00019077)77622 Avenida Madrugada 00019077 go Vt.. V A IMP F"U'DOX 7RO cw Cor"WrAlzip - CA 922530000 VVWRESSISPACE AVE MADRUGADA EWCOMMMIZIP CA 922530000' TWNE 06 . 10 pn S, 1`650 1071 1 SB TRACT NAME -7 rHONE# CIAERMATA, JOINT VENTUR ORATION 6 72 tISENHOWER DR CWCO=TW.fA/ZIP CA 922530000 7lN4L564-1315*T=INSPECTOR FINAL TE ARC/ENG FIRM NAME LICNC N -ADDRESS CITYICOMMUNITY/STATEIZIP PLAN # PLANS EXAMINER APPROVE DATE t)OIT _DWLG & ATT GARAGE # o R zzoeN. FSB JOUb 109b 109b, I ZONEORD# LOTSZ END 10 0 tD# APPLICATION •FOR STRUCTURAL PERMIT T H I S S A N A P P L. I C A T 1 0 N U N 1. Y 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. E3 No ADDITIONAL INFORMATION t 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 Fl al 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 STREET NAME PERMIT APPLICATION County of Riverside Department of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Am. 203 880 N. Slate Street 227 North "0 ' Street 46.209 Oasis St. Am. 310 160 N. Broadway r - Riverside. CA 92501 Banning. CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blylhe. CA 92225 Ph: 787-6146 Ph: 849.7312 Ph: 6584464 Ph: 657.3898 Ph: 342.8271 Ph: 9222670 •a" 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. ❑ "' 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 lull force and effect. 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 life a signed statement that he is licensed pursuant to the provisions of the Contractors License Law • (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- empl 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 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. II. however, E� 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.) ❑l, s 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.) 01 am exempt under Sec. B.8 P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby allirm 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.). Sr❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. KAVER (�vtDTTDDyRUSS1yy}}���IBOX g�q7ys, ,90 /� .yam n ry MOL"JS,IAI`{ I "' Cid 7 22530 0 0 0 trOB'.SIL,_28ESSISPACE M A1r�Cf UGADA AVEI'7WC IT'JWCRA61{t7192I2530000 CIIYTIfNf C44OOOMb11G1.LJyWTrTEIZIP AoV iPlms V a��W0.v 3 TWN on n S 4O000 1 U054 Wfl SB CA TRACT NAME 67'EER JOINT V�N UR PHONEpNpWFM))9g ANgEp-FIWJrgORATION IT55672 gSyEISENHOWER y iCWOW7yq14ZIP A 922530000 22570hVO A—< 3 1 5 ,iN'r56 GINSPECTOR FINAL DATE ARCIIENGFIRM NAME LICNC N ADDRESS CITYICOM MUNITY/STATE/ZI P PLAN p P S INERT. APFaRO�E Dp`E , (/v V,UFf0LDWL_G & ATT UARAGE U 0 1 R ZONE d FSB 0 ""J" ! i� 6/ V '{7 O V t! %FIID ZONE ORD I LOT SZ END o R tJ e 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 spas to become subject to the Workers' Compensa- tion Laws of California. Date Applicant NOTICE TO APPLICANT: It, after makingihis 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: 01 hereby certify that no excavation five (5) or more feel 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.). OAS owner -builder. I will not employ anyone to do work which would require a permit from the Division of In- dustrial Safety, as noted above. unless such person has a permit to do such work from the division. ❑ Division of Industrial Safely 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 CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certily 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 cons)rclion, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon Ilep(,operty f�`w is a - applied for this permit for the purpose of making inspections. Signature of Applicant or Agent Date Print Applicant/Agent Name trullPATI*Q1 Ip F Ic 0aif 2f/'Y62 2� R 2 3 ESTIMATED PLAN REV FEE it %ac: ' TOTAL FEE CA CK�(' NC COUNT R 6.1 1 COUNTER L.U.T. _ PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL. PERMIT COST IS $16 ".32 CONSTRUCTION ESTIMATE (NOTES Not to be used as property valuation) Description F'C'C Group Typpe Sq Ft Rate Valuation PRIMARY DWL.G lot R' 3 Wil©U 1481 $27.60 $40875 SECNURY PRIGAR 436 M-1 WOOD 4413 $9.10 $4076 Est Plan Rev Fee based on Total Estimated Val'tri of $44951 i.s t $169,32 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 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. 0 FI ADDITIONAL INFORMATION •• 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 1 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 STREET NAME APPLICANT NAME (L, F, MI) ANDEN CORP ADDRESS - - pqg F d BOX 700 rWOMMAYAZIP CA 922530000 RESS/SPACE MADRUCADA AVEv 'f' �TM�CO li!G+i VA1TAZIP CA 922530000* BOK %,31 PAG 3,90 P C he C 3C TWN i RNG 000 SE 00 S unO000 OT054 rog1 SB CA TRACT NAME qIYTV^. NTU ryI 6ARUJ.A; JOINT IONEN CFRMOA .VI ORA AUN. L�L' 2 AD 4'9'0'91 E I SENHOWtR Int* CITj(CO.MMYTAZIP .. CA .92'253 0 0 0 0 °'•.•, BLDG. INSPECTOR FINAL DATE' ARCIENG FIRM NAME LICNC # ADDRESS CITYICOMMUNITYISTATEIZIP' PLAN # PLANS APPROVE DATE *�EXA�MtINEER�y � UW��WUff"DWLG -6-ATT 1 " �Q P- ' Bfs �j . �ZO FSB �W1Y7RArm� 0vV 1 BO- Oro �y* (fkl) ZONE ORD # LOT SZ END loose APPLIPRMT pPS DATE 27103 00019077 kD 0 s/26/6 TOTAL . FEE CA CK NC I COUNTER B.I. COUNTER L.U.T. APPLICATION.FOR STRUCTURAL PLAN! REVIEW1 271 OT T N 1 8 1 9 'A -N A P P L I C A T 1'0 N 0 N L Y You muss see the following Departments of listed) for concurrence BEFORE. a Permit can be issued i Description ----------------------------------------- Dep t to Sae -_ HOLD �HEALTH HERLTW MOLD ROAD ROAD 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 Ftgs 8 Frms 34 Plenums & 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. C] 43 Final IDA Fireplace T. 0. P' ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 1 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 STREET NAME