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SFD (00019084)77642 Avenida Madrugada 00019084 rr n.n. i.nry c 1 . .mil ADDRESS H, P 0 BOX 780 CITYICOM MUN ITYISTATEIZIP LA Qi INTA CA 922530000 OB SITE ADURESSISPACE 17-V6 rV6 AVE MADRUCADA CITYICOMMUN ITYISTATE/ZIP ' LA QKNTA CA 922530000 BOK 631 PAG 3 U PRC 528 C 3 TWN RNG 000 SE 00 S TRACT LOT 000000 005b MOD 010 SB TRACT NAME /, JOINT 6KRR"Ob WyNr VEN ry HONE# I /&WMAFRAEqOpATION LI y6y 2 P 91 EISENHOWER DR :CIT:L.A Dcaia $iI TA- CA 922530000 PO'R "'J i78' . BLDG. INSPECTOR FINAL DATE FARC/ENG FIRM NAME LICNC # ADDRESS CITYICOM MUN ITYISTATE/ZI P PLAN# PLANS EXAMINER APPROVE DATE USE OF PERMIT CONDO-DUL G & ATT GARAGE P., B0 0 ' RZpe FSB OS( B0 OSA 0 OroI JUDI ZONE ORD # LOT SZ END hSeb APPLIPRMT # PS DATE l 001911134 X1& 05/26/SLP v ] 2 7 1 0 1 i TOTAL . FEE CA CK NC I COUNTER B.I. - COUNTER L.U.T. APPLICATION ' FOR STRLi UURAL PLA14 REVIEW 1 271-07 t' H i s x s A N A P P L J C A T I O N E3 N L. Y You muss se* a the following, Depay fiTments (if listed) for concurrence 14EFORE a Permit Can be i ssued s --» De4cr ip t i on ----------------------------------------------Dept -to Set- . .. HOLD HEALTH HEALTH HOLD ROAD ROAD 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.O. ❑ OP'N 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) 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 1. $eryice 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 rr, PERM Coun Department 080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. slate Street Riverside. CA 92501 Banning, CA 92220 Hemel. CA 92343 Ph: 787-6146 Ph: 849.7312 Ph: 658.4464 This permit becomes void it work not commenced within 180 days from date of issuance. OR, it work has beer sus I�ILAENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc- ,mg with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. ,D `",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 - ft :slrucl, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such 1° 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- ' 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 five hunderd dollars ($500).): ); ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the /i 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 [hereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. II, however. the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- 1; ing that he did not build or improve for the purpose of sale.) I ❑1, as 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 property who r builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) ,r[[�❑I am exempt under Sec. BA P.C. (Attach Certificate). &Date Owner WORKERS' COMPENSATION DECLARATION: I hereby allirm [hal 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.). 1❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. Y 4AMIIAAMddlM PDR[JS BOX 700 F' °°h1N41NhT6/STATE121P C:bAi,�922 30000 AVEM MADRUGADA �r�`76421RESSI/SygP7A�C�E i,.fiC44O77''YYW iJ1{V'TMIP CA 99222530000 1 3t V 90281�i s �N Ono V� S F431i 1� {% I/ 0 0 V a/ ID ` 456 1 U A app 0 SB $197.60 TRACT NAME ptfFtpqNr RPHONEIf MIIM,JOINT -VENTU NC pFIM PORArI N pWA1I3 LI1''a3 b 72. W" 1 EISENHOWER DR SIT C`Or►4U(4tiT`�,(BRya VzlP CA 922530000 T�.IQTIV /1 / �Af -i 1 31 MG t4. GTNAME WAN BLDG. INSPECTOR FINAL DATE ARC//EeNlG"'FIRM LICNC 8 ADDRESS CITY/COMMUNITY/STATE/ZIP PLAN p - P EXA NE R APPj10VV7TE ��/// WN001-DWLG & ATT AARAGE 110 R NN oUE0 IOU An �►"�D ZONE ORD N F LOT SZ END 0 n!W0 IT APPLICATION ty of Riverside of Building and Safety 227 North "0" Street 46.209 Oasis St. Rm. 310 160 N. Broadway Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 6573898 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 if the permit is for one hundred ($100) or less. I certify Thal 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: If, alter makinglhis Certificate of Exemplion, 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 live (5) or more leer 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) feel high. (Chap. 3.2, Grp 2. Art 2. Sec 341, Title 8, C.A.C.). El As owner -builder. I will not employ anyone to do work which would require a permit from the Division of In- dustrial Safely. 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: 1 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 certify I have read this application and stale That the information given is correct. I agree to comply with all state laws and county ordinances relating to building co' tr clion, and authorize a presentative of the County of Riverside. Department of Building and Safety to enter up- t e roperly Ibr'Gipi 5v a plied for this permit for the purpoSo of making inspeptmns Signature of Applicant or Agent Date Print Applicant/Agent Name VU11TI la o:5.'z;17U'z1 ( 2585 ESTIMATED PLAN REV FEE I *197.60 i TOTAL . FEE' $197.60 CA CIW NC COU, XT I! .I. COUNTER L.U.T. PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL PERMIT COST I5 $197.60 CONSTRUCTION ESTIMATE Description PRIMARY DWL.G SECNDRY PRIGAR Est Plan Rev Fee baud FORM 284-208 (11.81) INSPECTOR (NOTE: Not to be used as property valuation) FCC Group Typpe Sq Ft Cute Valuation 101 R' 3 We D 1893 $27.60 $52246 436 M-1 WOOD 405 $9.10 $4413 on Total Estimated Val'tn of $56659 ix1 +197460 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts r� 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. C] 43 Final 10A Fireplace T.O. 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 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 F"iljGA%�IVA 1��.yytbv�1�"ry. . �IyDTjDDF}E9S Box d 13 O rfI +y �y �r �q / ,q 922530000 Y91�`CJJO�IdNlT�S,Aj�IZIP. W P� 7 �i:P iii O O 6! O ff6E ,P RESSISPACE AVEilAB�It IJWAdOA P7 PYCA I. W�cO©OIW 1`d � AIZIP V22530000' 5yhri :rA4 6R2O 9 TVVN 0 N QR lE OO s 'fJR 000 ' 6G656 1 60f o SB TRACT NAME ERCLQl,p ��Wr�i Vl,:.•f� i U1� .W "PHONEp i'F rq�.Fl�v l {'ORATION ",�.ti,36i2 si § k F I SENHOWER DR Ewc1blifiAAIZIP CA 922530000 . --1' .315 BLDG. INSPECTOR FINAL DATEiJQf-5`R ARCIENNG FIRM NAME LICNC p ADDRESS CITYICOMMUNITYISTATEIZIP PLAN N PLANS EXAMINER APPROVE DATE a.;biFtiWd'!.DWL r. sS AT i' %ARAG1 G 0 r1.Z9—es iORD FSB o ftb o tfT7 () Vb SD . ZONE p LOT SZ . END 10 oon_ TOTAL . FEE CA CK NC COUNTER B.I. COUNTER L.U.T. tAPPL..ICA ION FOR STRUCTURAL. PERMIT TH.I S IS AN Ata P L.I CAT x Ott 0 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 & 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. E] 43 Final 10A 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 (Batts) 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 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 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME