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SFD (00019089)77672 Avenida Madrugada 00019089 1' P4 J i F...►`CA ld l .. Pols BOX 780 ETA Cor .`irwrivZIP CA 922530000 J9 VS}Tlff1ff1RESSS/SPACE AVE MADRUGADA V ET ((COMQC I (_ YA/ZIP Cl1 G /J .0 1 CA 923000025 0 FRS9 1 TWN C H O 6EO S lub o 0 0 WbSo W°A 0 SB TRACT NAME 6 ER atfFF+ EW /T yayV NTUy :PHONEN •g P Vtm j ORA 3 17.-Oi ;EISENHOWER DR ++ np ' CIICOMfxIZIPi"!G hd0 CI V 01N41 564—q, -3q d 8 BLDG. INSPECTOR FINAL DATE '''ARCIENG FIRM NAME LICNC N ADDRESS r CITYICGMMUNITYISTATEIZIP 'PLAN # PLANS EXAMINER APPROVE DATE dtfWb'W-DWLG ATT GARAGE R40,11-1 FSB $$V 0 E$U n ub T_ PV LOT SZ END 0ZONEORD# 4D4 APPLICATION .FOR STRUCTURAL TURAL PERMI T H I v 1,S A N A P P L I C A T 1 0 N U N -L. Y FORM 284.208117 -Bt)`' INSPE IOR - Y I 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. 0 43 Final IDA Fireplace T.O. NO ADDITIONAL INFORMATION •r " 'r • 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 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 PERMIT APPLICATION County of Riverside Department of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate street 227 North "D" Street 46-209 Oasis SI. Rm. 310 160 N. Broadway Riverside, CA 92501 Banning, CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 787.6146 Ph: 849.7312 Ph: 6584464 Ph: 657-3898 Ph: 342.8271 Ph: 9222670 This permit becomes void if work not commenced within, 180 days Irom dale of issuance. OR, if work has beer suspended or abandoned for a period of 180 days. us— LICENSED. ? CONTRACTORS DECLARATION: I hereby alfirm 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. Y 7 r-� OWNER -BUILDER DECLARATION: 1 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- slruct, 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 lot the alleged exemption. Any violation of Section 7031.5 by any applicant for a per - mill subjects the applicant to a civil penally of not more than live hunderd dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered lot sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered lot sale. II, however. the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- ing that he did not build or improve for the purpose of sale.) ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) ❑1 am exempt under Sec. . B.& P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800, Lab. C.). ❑Cerlified copy is hereby furnished. ❑Cerlified copy is tiled with the County Building Inspection Department or County Department. Pit S1Ei �T[`IAM�w 780 g i�hy p� 6pDR€$S BOX 780 CITE(°O04 Q4y}I.)PyTYj($TWIP CA 922253 a a Q o dQB1SlTFv80eD;RESSISPACE AVEMADRUGADA cOpypTW21P CA 922530000 53000 V0000 JVb59 I 1010 1 SB TRACT QIp�SpItl�y8giN1AMQ�EYgNTUn HONE#QEMyF1yqy♦p V 7§151-3-67,2 ORATION Ir • : QS 4 �( kyr' n gip :4T�Y�I�iRi�?�1�T�IE l gEN1"i" OWER DR p p r� t' n �TJCOWV.F.i ywZIP 4r Yi ��A�..4M �V130 TM -564-13, 15 BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC d ADDRESS CITYICOMMUNITYISTATE/ZIP n. 1/PI�AF�N-p PA EXA /SER APP OVE yE 1r �1WAI �DWLt7 & ATT ARAIGE CXJ T05 ZO rN� FSB f! l! V lIU ZONE ORD p LOT SZ END r 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, 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: II• after 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 certily that no 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 buildingstructure. 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.I 0 A 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 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.). Lepder'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 state laws and county ordinances relating to building doqst clion, and authorize a epresemalive of the County of Riverside. Department of Building and Salety to enter u bI a operly'to„r=whi Phave applied for this permit for the purpose of making inspections. . Signature of Applicant or Agent Date PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL PERMIT COST IS $169.32 CONSTRUCTION ESTIMATE: (NOTE: Not 'to be used as property valuation) Description FCC Croup Typ a Sq Ft Rate Valuation PRIMARY DWLC 101 R-3 WOC30 1481 $27.60 $40875 SECNDRY PC IGAR 4436 WOOD 441 $9.10 $4076 Eat Plan Rev Foe based on Total E~stimaled t al'tn of $44951 is: $16?,32 32 FORM 284.208 (1181) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts t_ 2A Slab Grade 35 Furnace Comport. 1 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. 0 43 Final 10A Fireplace T. 0. OP'N NO. ADDITIONAL INFORMATION -a t SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 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 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 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 ANDER M�.i6i(�Mp ADDRESS P O BOi 980 CITYICOM MUNITY/STATE/ZIP I�- ` L"A QUINTA CA 922530000 ' ,JOB SITE ADDRESSISPACE 477672 AVE MADRUGADA 7 CITYICOMMUNITY/STATEIZIP 1.,A QUINTA CA 922530000 BOK W�1 PAG 3�0 PRC 02O C TWN RNG 000 SE 00 S TRACT LOT 0{00000 Un�7 ® MOD �t 01 V SB IRACCT NAME �!�( �+ ¢ ift q JOINT .R'rpY 1•�,{VCS •/ UR 1WXR„YS;M) jis PHONE �tp1pYCpb ryyJ�47 ANDEia4FIRM C4iRt' ORATION yN^�py-��` /vim LI2Y36/ G ADDRESS 47991 EISENHOWER Dpi CITYICOM M U N ITY ISTATEIZI P LA QUINTA CA 922530000 PPO�JE pA - q i BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC M ADDRESS CITY/COMMUNITY/STATEIZIP i • PLAN # PLANS EXAMINER APPROVE DATE USE OF PERMIT CONDO-DWLG HITT GARAGE P-1 BL 00 1i 12.. FSB 101. {�0 0090, 000 ykD ZONE'ORDR LOTSZ END — 00Sib 11Pil PVT os 6 0t '267132 27110 TOTAL . FEE CA CK NC COUNTER B.I. COUNTER L.U.T. A6'PLICATJON FOR',STRUCTiURAL PLAN REVIEW T H I S I S A N A P P L 1 C A T Z O N 0 N L Y You rust see the following Departments (;if listed) for conc.urr-mce BEFORE a Pt�rMit can btu issued: Description --------------------------------- _ _�_�_- De t —t o bee --� ... . HEALTHHULD� HOLD ROAD ROAD �O'RM 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 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. 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 $ervice 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