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00026510 (ELEC)E.K 9 P pu pose o sa e.) ta (3I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. x_7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who T builds or improves thereon, and who contracts for such projects with a coniractor(s) licensed pursuant to the Con- tractor's License Law.) ❑I am exempt under Sec. . BA P.C. (Attach Certificate). Date Owner 'WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cerlificate of consent to sell -insure, ora `perlificale of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800, Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) n { County of ' Riverside Department of Building and Safety e 4080 Lemon Stl.nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 'i 227 North "D - Street 46409 Oasis St. Rm. 310 160 N. Broadway Riverside. CA 92�i'ol Banning, CA 92220 Hemet. CA 92343 1• Ph: 787.6146 W, Ph: 849.7312 Ph: 658.4464 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 657.38IT • 'i Ph: 3428271 Ph: 9222670 This permit becomes void it work not commenced within 180 days Irom date of issuance. OR, it work has been suspended or abandoned for a period of 180 days. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- 4LIC ENSED CONTRACTORS DECLARATION: I hereby allirm That I am licensed under provisions of Chapter 9 (comment- pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. permit is issued. 1 shall not employ any person in any manner so as to became subject to the Workers' Compensa- CONTRACTORFIRM NAME tion Laws of California. `. Dale Applicant OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from The Contractor's License Law for the "following NOTICE TO APPLICANT: If, alter makinglhis 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 shall be reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit ID con- permit deemed revoked. slruct, alter, improve. demolish, or repair any structure, prior to its issuance. also requires the applicant for such "permit CITYICOMMUN ITY/STATE/ZIP to file a signed statement that he is licensed pursuant to the provisions of The Contractor's License Law . DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: `(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- ❑I hereby certify that no excavation five (5) or more leer t. depth into which person is required to descend. will �. mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).): made in connection with work authorized by this permit. and that n building structure, scaffolding. ArI 50 or or demolition or dismantling thereof. will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341, feet 2. . Sec 41. I, as owner of the properly, or my employees with wages as their sole compensation, will do The work, and the Title 8. C.A.C. ). structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License OAS owner -builder. I will not 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 for sale. If, however. employ anyone to do work which would require a permit from the Division of In - dusirial Safety. as noted above. unless such person has a permit to do such work from the division. . the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- ' in that he did not build or im rove for the r f I ❑Division of Industrial Safely Permit No. - E.K 9 P pu pose o sa e.) ta (3I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. x_7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who T builds or improves thereon, and who contracts for such projects with a coniractor(s) licensed pursuant to the Con- tractor's License Law.) ❑I am exempt under Sec. . BA P.C. (Attach Certificate). Date Owner 'WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cerlificate of consent to sell -insure, ora `perlificale of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800, Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) n CITY/COMMUNITY/STATEIZIP LA MUTNTA CA 5 000 .JOB SITE ADDRESS/SPACE 51,610 AVE 0 CITYICOMMUNITY/STATEIZIP h N yq�_ 000 CA922530000 BOK PAG PRC '� C TWN RNG SE 0 0 9 S TRACT LOT 00 000 00 to MOD I 011 SB TRACT NAME .., M. OWNER NAME (L,F,MI) PHONE # CONTRACTORFIRM NAME LICNC N ADDRESS CITY/COM MUN ITY/STATEIZI P PHONE N BLD NSPEC OR FINAL DATE ARCIENG FIRM NAMELICNC d ADDRESS CITYICOMMUN ITY/STATE/ZIP PLAN p PLANS EXAMINER APPROVE DATE USE OF PERMIT 9W tit: Pf:PM&?J1T?JT n RuTrIT BLZON FSB I SSB 000 SSB RSB 000 000 OFC IFC ZONEORD# LOTSZ END SIDE 0000 CONSTRUCTION LENDING AGENCY: I hereby allirm that [here 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 slate that the information given is correct. I agree to comply with all state laws and county ordinances relating to building construction, and authorize a representative of the County of Riverside. Department of Building and Safely to enter upon the property for which I have applied for this permit for the purpose of making inspections. f Signature of Applicant or Agerit - Date APPL/PRMT RP$ DATE A� 47141 i; ♦. ELECTRICAL FEE $13.00 TOTAL . FEE CA CK• X NC COUNTER B.I. --rrf:P COUNTER L.U.T. E'LCCTR'lCAL. TOTAL PERMIT COST IS P E R N! 1 T $13.00 ELE TRI I4AL FEE COMPUTATIONS * Permit Fee (if Sappp icytable) FEET; 'PI MP VC•-'Temp/Concur SVc i N Temp Use Prmt i Y �1 d' l Poles t 0 E'ER t FORM 284.208(,1.81) -INSPECTOR 47141 $3.60 $101-00 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 10A Fireplace T.O. No - _ - •- ADDITIONAL INFORMATION - - _ _ - _ - - -- - - - - - - . -- - - -• - -- - - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13. Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 Ceiling (Batts) 12C Ceiling (Blown) 14 Final - - - -- - - _PLUMBING.APPROV_ALS _ _ _ _ _ _ _ _ . 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 i i i STREET Date L© ZC92' County of Riverside Department of Building and Safety l ��eCS X25 hereby makes (owner or contractor) application for temporary use of permanent electric service at -2 �' /O /� 1 °p >�!/f ��C//° ti714 for security lighting b (address) and/or equipment testing. Access to service and disconnective means shall be limited to the following people _ Name Position Name Position ' Name Position Security to the above areas shall be by padlock fenced area other (describe) It is ,understood that this permit if issued is for a maximum of ninety (90) days. Failure'to finalize the original building permit within the designated _._._time_may..result'in the discontinuing of electric service. The applicant for this permit agrees to accept total responsibility and lia- bility for any accident resulting from the use 'of the electrical service. Name .Position APPLICANT NAME (L, F. MI) N "G ox CC, o AVE-RUIRX0 CITY/CoMMUNITY;STATEIZIP LA 13UTNTA CA 922530000 JOB SITE ADDRESSiSPACE AVE RUBIO CITY/COMMUNITYISTATEIZIP A QUINTA CA 922530000' BOK 773 PAGRc 1-122 l,p0Q4 c 0 TWN RNG (1000 I SE 130 S TRACT LOTOD 000000 10010 1 , 10111 SB TRACT NAME SCY LAQ 02, RLK-22, 1/9 LOT 10 OWNER NAME (L,F,MI) C)BODAN, GIRBOVIC IPHONE#. CONTRACTOR -FIRM NAME LICNC N ADDRESS CITY/COMMUNITY/STATEIZIP PHONE# INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # ADDRESS ,CITY/COMMUNITY/STATEIZIP PLAN # PLANS EXAMINER APPROVE DATE USE OF PERMIT -TEMP USE QF PER M.NT S RVI E I BL, ZON 00 R 1 FSB SSB I SSB I RSB 0 0 ID; 13; 000 Oofj -IND OFC ZONEORD# I LOT SZ I I END I SIDE 0000 7) - -I-- - - - - -- - - - - APPL/PRMT N[S DATE App 1 n,/2o/aa, �47140 TOTAL FEE CA CK NC, COUNTER B.I. I COUNTER L.U.T. APPLICATION FOR ELECTRICAL PERRL',, T H 1 6 1S AN 'A P L .1 C A T 1 0 N ONLY :FORM INSPECTOR' ?84-208(11-81� 9 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.O. P' ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 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