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ELEC (00017244)77643 Avenida Madrugada 00017244 APPLICANT NAME (L,, F, MI) CORPORATION q. y w ' AIr 7dDAEEN CORPOR I ©`1N . pAg1 ADDRESS yip 77643 643 AVE 1'lADR VWA A CITYICO M M U N ITYISTATEIZI P LA QUINTA CA 922530000 DD 4/ P 943REES,S/SPACE AVEMADR • GADA 1/ g CL..A O {7YiY )J6(I (TTEAIZIP CA 7'22530000 {•, F BOK 773 PAG of: PTTR((C aaa C 9 TWN caaa RNG SE at► S TRACT pp pp LOT x14496 y MOD { SB CA TRACT NAME Mph M y y pq q p P/f'lE N'F 1. oRPORA i ION. PHONEp CONTRACTOR -FIRM NAME LICNC # ADDRESS n .. CITYICOM MUN ITYISTATEIZIP PHONE# ,BLDG. .t INSPECTOR FINAL DATE -ARCIENG FIRM NAME LICNC p ADDRESS CITYICOM M UNITYISTATEIZI P ' PLAN # 1 PLANS EXAMINER APPROVE DATE USE OF PERMIT 100 AMP SERV—LIGHTS & IRRIGATION BL 001 Kt N. FSB V b aSVBa o 4b ZONE ORD# LOT SZ ENDaS6E V aaAI $^t'Y AE a"9/2`.i l:74 }W(IJ,J A yPPL/PRM1 7 PS A / A pp yDyAJJTEBC t 26893 6 8 9 3 ` TOTAL FEE CA CK NC COUNTE BA! COUNTER L.U.T. _- -.rte, -+.--c —.•-r -+- ... .,... .•....-..--..., _ _ __..r _ _..-,. — —. ,..J _ - - __..-amu..,_ ._. _. _.... . . _.. _.-___-_ _ -' _ _ •-- . I 2689T APPLICATION FOR ELECTRICAL. PERMIT T. M I s I S .A N A P P L. 7 C A T I 0 N 0. N L Y r 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.O. NO ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rouges 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 1 If This permit becomes void it work not commenced within 180 days from date of issuance. OR. it work has beer Sus ar LICENSEO 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 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- �Itruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant far 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).): ❑ 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 4rough his own employees, provided that such improvements are not intended or offered for sale. If, however, e 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, 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 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) ❑I 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, or a certificate of Workers' Compensation Insurance, or a certilied copy thereof (Sec. 3800. Lab. C.). r OCerlified copy is hereby furnished. []Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F. MI) ANDEN, CORPORATION ADDRESS643 AVE MADRUGADA PERMIT APPLICATION J;B�EADRESSISPACE AVE MADRUGAAA DlDUTTZIP l"ffINTACA 9225"3' 0000 BOK 773 County of Riverside Department of Building and Safely PRC 0ll 4080 Lemon St. 2nd FI04 Riverside. CA 92501 135 N. Alessandro Rd. Sm. 203 Banning, CA 92220 880 N. Slate Street 227 North "D" Street Hemet. CA 92343 Perris. CA 92370 46209 Oasis SI. Rm. 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 1 If This permit becomes void it work not commenced within 180 days from date of issuance. OR. it work has beer Sus ar LICENSEO 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 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- �Itruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant far 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).): ❑ 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 4rough his own employees, provided that such improvements are not intended or offered for sale. If, however, e 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, 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 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) ❑I 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, or a certificate of Workers' Compensation Insurance, or a certilied copy thereof (Sec. 3800. Lab. C.). r OCerlified copy is hereby furnished. []Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F. MI) ANDEN, CORPORATION ADDRESS643 AVE MADRUGADA CITYICOM MUN ITYISTATEIZIP LA QUINTA CA 922530000. J;B�EADRESSISPACE AVE MADRUGAAA DlDUTTZIP l"ffINTACA 9225"3' 0000 BOK 773 PAG 022 PRC 0ll C 71 TWN to00 RNG SE 00 S TRACT LOTMOD 0'14496 0212 01 X I SB TRACTNAME OyV_€ 1030, FMCOR,PORATTON PHONEq CONTRACTOR -FIRM NAME LICNC A ADDRESS CITYICOM MUNITYISTATEIZIP PHONE # - BLD OR L D l ARCIENG FIRM NAME LICN q ADDRESS CITYICOM M UNITYISTATEIZIP PLAN If PLANS EXAMINER APPROVE DATE USE OF PERMIT '+1'00 AHMZ�Pj SERV-LIGHTSEIL 0 0 R (rMN FSB � MBe r' SFS57B9i h9� 0 10 JY pqF¢'}� &D ZONE ORD R LOT SZ ENDn 6Slb 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 for one hundred ($100) or less. I certify that in the performance of the work for which this permit is issued. 1 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 makingthis 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 n0 excavation live (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 Thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341. Title 8. C.A.C.). 0 A owner -builder. 1 will not employ anyone to do work which would require a permit Irom the Division of In- dustrial Safely, a5 noted above, unless such person has a permit to do such work Irom 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 certify I have read this application and state that thq in ormation given is correct. I agree to comply with all slate laws and county ordinances relating to build in f c,�Q�Sluhce n, antl authorize a representative of the County of Riverside. Department of Building and Safely to enletr dp pro erly for w ich halveiap, plied for this permit for the purpos of making inspeclTons Signature of Applicant or Agent Date Print Applicant/Agent Name APPL 0 1 M PS DATE 0Ei0172 44 EP 04/27/f32 i� 6. n (/ r8 9 ELEC'rRXCAL FEE: $21 , 00 ADD IRRIGATION FEE $7.50 TOTAL �j�.'j /y•d'2 FEE $28.50 CA CX NCOUNT� . COUNTER L.U.T. E L E C T R I C A L. P E R M I T TOTAL PERMIT COsT is $28.50 EL "CTRI:CAI FEE COMPUTATIONS * Per mit Fee (if applicable)0 0f Unitul 32 Service Voltsr 0 Sergice Amgp-I t 1t 00 Service Amps -2: 0 Service Amps -3 ADO IRRIGATIDN FEE I NS?ECTOR y FEE s $113.00 E 0 FLEE t $5.00 $7.50 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 & 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. 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 (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 i 30 Fixtures 31 Service 32 Final STREET NAME