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GRD (00008461)53888 Avenida Madero 00008461 AP..LAiw k A 4't DEV Co A$ Jbae AVEWIDA MAS ER0 p ( n } p CEWIVI T, RYWIP CA 7 A V V V J 0. jT6VUEEpySS/SPPACE AVEN11DA Y/AIW-9R V CA 92245.470000 •8Qj5PA('a PR 0 4C, TWN VNG M 0 SE S ,yTrooo„ LOaM .q'R MWI B TOTAL FEE T%I,ltE VALE LA Q *19 GPMU,MERT Vii: Y 4I CONTRACTOR -FIRM NAME - ADDRESS C I n'!COMM UN ITY/STATE/ZI P PHONE a LICNC a ARC/ENG FIRM NAME ADDRESS CITY/COM MU N I TY/STATE/ZI P PHONE,pap E7,q[ t. j LICNC a u .fYnFl9,tl ITbI FbI r` 17WR DRAW BI . TtQNM 4 3 FSB 7 Dq . HB0 J dt u 1% ON S I'DjE ZONE ORD a LOT SZ .. END Uq iQ GI~ I ',,FORM 0lo011242 -008461 AW DATEt 2 APPLICATION FOR GRAOI G PtRNIT TOTAL FEE INSPECTOR S .• 011242 T H X s X S A N A P P L 1 C A T 1® N ©H L Y NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS . MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs d 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 I 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Gcnage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T. 0. °o r ADDITIONAL INFORMATION , V SEWAGE SYSTEM SIZE & LOCATION I1 Exterior Lath 12 Internnl Loth 12A Drywall 13 Finish Grade INSULATION Thick „RII Value 7A Walls (Batts) 128 Ceiling (Batts) 12C Ceiling (Blown) 14 Final _... FL-UNIMING-ARI=1iOVa« 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 d ' STREET NAME APPLICANT NAME (L, F. MI) E14XDA 14"a"' 6151173C.R.%.11STAT01 OL— J(58 SITE ADDRESS/SPACE AVOW DA CITY/COMMUNITY/STATE/ZIP C TWN —J'gE'] S 0 TFfA(5T ]YOT— MOD S. 000 a TRACT NAME `SC" -VA 16 LA 010 OWNER NAME (L. F. MN) CONTRACTOR -FIRM NAME I ADDRESS 51TY!COMMUNITY/STATE/ZIP `.'PHONE 0 LICNC # ARC/ENG FORM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE # LICNC # USE OF PERMIT Z RSB OFC J ZONE 0 LO-rs f -END -8115V ninaft, I APPUPRMT 4 PSJ_, DATE 0 11U 72. AW2 '-ARft6U;A!A0,N FOR CRAD PA..,Ahl r 14 JV -LA . — - 401GAL II CCU NSPECTOR'S COPY APPLICATION F&iR 6RADING PLAN kiF.V-lFW T I S A N A p 0 1 0 H 0 m %,, y 0110721' NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums 3 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 Gainge Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final l0A Fireplace T. 0. °o - -- ADDITIONAL INFORMATION r ------ ---- - ,. ' SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall i 13 Finish Grade INSULATION Thick R ' Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final Fc:1MCING -APPIZOJALa -- - - 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 298 Bonding 30 Fixtures 31 Service 32 j Final STREET NAME 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 St. Rm. 310 160 N.Broadway Riverside. CA 92501 Banning, CA 9Hemet, CA 92343 2220 Perris, CA 92370 Indio, CA 92201 Blythe. CA 92225 Ph: 787.6146 Ph: 849.7312 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 180 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 ($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' 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 reason (Sec. 7001.5. Business and Professions Code: Any city or county which requires a permit to construct, alter, deemed revoked. 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 Contractors License Law (Chapter 9 (commencing E] 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, penalty of not more than live hundred dollars (5500).): C.A.C.) YI, as owner of the property, or my employees with wages as (heir sole compensation, will do the work, and the Y ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a to do such work from that division. 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 permit n Division of Industrial Safety Permit No. his own employees, provided that such improvements are not intended or offered for sale. If, 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 sate.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of ' the work for which this permit is issued (Sec. 3097, Civ. C.). I,as owner o1 the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Lender's Name usiness 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 ❑ I am exempt under Sec. . B. & P.C. (Attach Certificate). city and county ordinances and slate 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' COMPENSCTION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a Signature of Applicant or Agent Date certificate of Workers Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. Q. 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 state laws and county ordinances relating to building con- con - y D y struction. and authorize a representative of the Counly of Riverside, Department of Building and Safely to enter upon n Certified copy is hereby furnished. the property for which.l have applied for this permit for the purpose of making inspections. ❑ Certified copy is filed with'the County Building Inspection Department or County Department. Signature of Applicant or Agent Date Date Applicant Print Applicant/Agent Name APPLICANT NAME (L. F. MI) ABALM DESERT w V CO C Y/STA eA 922530000 1 E RM" C Y/STATE/ZIP B C TWN S T T MOD SB T A 1="A E (L, , C N CMRA99P ADDRESS CITY!CO M M UN ITY/STATE/Z I P PHONE 4 LICNC e ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE a LICNC N USE OF PERMIT 8 S RSB OFC ZONE O n 7 LO ND V V til U APPVPRMT ePS DATE 011072 9060846 XG 11/25101 AMMPlL FEE 011072 APPLICATION FOR GRADING PLAN REVIEW T H I S 15 A N A P P L I C A T I 0 N b N L Y