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00016737, 426951 (SFD)
AM F�,rQ JU4 LW, s 163 6 CA PZRR . ESS/SPACE AVE RAMIREZ zip 92253a,000, 774 12,11 1WI6.. TWN 0 GV*0 OEO S utfl) offalk 04 SB ULcVtV 6 IDLK :2135 - q 414E (Lop 7HONE # VURS .1-638 P-Aery-W, 41s, T, 9 26 U U 0 0,V,' ..,,CA 1 0A.B.I., BLDG. INSPECTOR� FINAL DATE ARCIENG FIRM NAME 6 LICNC # ADDRESS CITYICOMMUNITYISTATEIZIP PLAN #[ PLANS EXAMINER "I APPROVE DATE -ATT PAR AGE: �R, 0 DO qsq ZONEORD# LOT SZ END O:Otco., 0 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums 6 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. E3 43 Final 10A 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 Service 24 Gas Test 25 Final Tank Pit L.Line REAR OF PROPERTY LINE ,'•• 't 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 PERMIT APPLICATION C%Inty of Riverside Depa�flenq,ol Building and Safety 4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate .tree) 'll� 227 North "0" Street 46.209 Oasis St. Rm. 310 160 N. Broadway Riverside. CA 92501 Banning. CA 92220 Hemel CA X2343 Perris. CA 92370 Indio. CA 92201 Blyhe. 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 beer suspended or abandoned for a period of 180 days. n LICENSED CONTRACTORS DECLARATION: 1 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. a 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- struct, 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 01 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- mit subjects the applicant to a civil penalty 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 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 his own employees, provided that such improvements are not intended or offered for sale. It, 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 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.) 01 am exempt under Sec. BA 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.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department �g7pPGplUi�tsiSiT� A VhFWI) LP 11J16rA.1'1Ul,RL=W96P7 CA 9f"2600Q00 t rgSJTE URESSISPACE AVEE],h M'Y C'Y 1"IV R71 1Ar �rw F+ C Ta'JCOfYtMUNtT`IU�YWIP yJ Q 00 '{BP. 4 1211 FY16 �3 TWN O n o 6% S utfli00V VY04 C� 1 1611SB *I ri l V7 CA C% •Vf'6 /NYfI`li O]NIQER RmE (pL�RFiMhtl)Ng� PHONE N b/ �i t�!'7 V R./ 1.1 i-stw rs 4 3 6 MRS 1PI'1EN t,4JEG3CR i CA 92,2600000 ANW`j'r Mi68-3 0 AC.S 3 Li ^d {.7 BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME - LICNC N ADDRESS CITY/COM M UN ITV /STATE/ZI P PLAN NP� EXAMINER APPROVE DAApTE Q,2"— USED @ RMI A 1 i Vi'fRf'fGE Reit Fee based or) Total Estimated Vai"Tn of ZONE ORDN LOTSZ END © 0 UD8 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- lion Laws of California. Date Applicant NOTICE TO APPLICANT: II, after making this 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: Of hereby certify that no excavation five (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.). []As owner -builder. I will not employ anyone to do work which would require a permit from the Division of In- dustrial Safety. 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 lot 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 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 Safety to enter,4pon the property lot which I have applied for this permit for the purpose of making inspections. Signature of Ap'Plica"nl or Agent Date Print Applicant/Agent Name uVw-re,737 Cr. 042'Jof02 67w22- eS'UMATED PLAN REV FEE. TOTAL PERMITCOST I S $151 .7 (�qry +�p-�Ty� z^, «p �q f �+ y� �y y�E �gP+� TIEi a ,,t he as Property Description FCC Group Try 0 C� PRIMARY TOTAL FEE ' *I ri l V7 CA C% NC COUNTEWBA. COUNTER L.U.T. ° PERMI't FOR STRUCTURAL PLAN REVIEW FORM 284.208(11-81) INSPECTOR valus°tion) Rate Valuation "S► 7. 60 $33423 $30?9Y i s) ��$151 .77 C--/, D� Z7 TOTAL PERMITCOST I S $151 .7 (�qry +�p-�Ty� z^, «p �q f �+ y� �y y�E �gP+� TIEi a ,,t he as Property Description FCC Group Try 0 C� PRIMARY DWLG 101 R� 3 V_ 1211 SECNDRY AIRCON 900 R--3 R 1211 SECNDRY PRIGAR 436 M WD 320 Est Alar) Reit Fee based or) Total Estimated Vai"Tn of FORM 284.208(11-81) INSPECTOR valus°tion) Rate Valuation "S► 7. 60 $33423 $30?9Y i s) ��$151 .77 C--/, D� Z7 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 Compart. 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 LL IDA Fireplace T. 0. E No . ADDITIONAL INFORMATION , t SEWAGE SYSTEM SIZE & LOCATION ' 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling_(BP!ts) ., 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 tom. 4. _._� 3 _ �y yA'DDRESS LL MM r:� gee ..: A.: q2260'60 0 0 P.ACE AV ANTR•. EYt �SCI WIRE.SS S.SISP �1. CO4uYT21P Fi. i CA. .99-2530 0'0. 41 /'^4 0�n� Q e7CTWN Ofd 0'0 '00 .S Cb - Xb;0 p�.r oy.. SB.. ,.R til V'U MEI 1)A'� 'PHONE p.,. i r3 8/GiYT YfJI N + SN 16 iV. t `4yf "936 J�.D ESS d.63 r� iG�7 � 1�114� Pr CA'. 92260000€ IN4# t- ty .BLDG: INSPECTOR FINAL DATE . 'ARCIENG FIRM NAME •• LICNCp . ADDRESS - - 'CITYICO M M U N ITYISTATE/ZI P F PLAN q 'PIANS EXAMINER; APPROVE DATE 0g i� UW6P�iERM_ •IQppT R 40 - ZONE ORD LOT SZ END S,D 00 f _.�.' r:. t�{?t�;t�TI�A` CIN : tiflt3 .:a i lJE:" t 'Ak FLAN REVIEW '/p.te' t 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 QA 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. E] 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 (Batts) 12B Ceilinq,(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 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 BUILDING PERMIT PERMIT NO. DEPARTMENT. Of BUILDING & SAFETY DSIT 4269-51 COUNTY OF RIVERSIDE FIELD I// CONSTRUCTION ESTIMATE 1 a NO. :ELECTRICAL FEES NO. PLUMBING FEES IST FL. "y � SQ. FT. 01—S $ Zip UNITS IAL 2ND. FL. SQ. FT. @ 3 YARD SPKLR SYSTEM FOR. SQ. FT. @ Date ,. MOBILEHOME SVC. BAR SINK GAR. Q '-I SQ. FT. @ r . POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Use of Permit rV t� VV rn,. 4 t r.� .�- 1\ 4 4 � - � f�C ��„ DRAINAGE PIPING W LL SQ. FT. @ Ck. By Mech. Fee Dbl $ DRINKING FOUNTAIN s gum, FT. @4 1 Lot Size ` J ' 0 C3 URINAL,. STIMATED,CONSTRUCTION VALUATION $, / 1 �1F 1 i I r WATER PIPING NOTE Not-lo,be used.os^pToperty.tax voluation R� � SWIM POOL,,PVT..' FLOOR DRAIN ' t%, ?' N1ECH'ANICAL� FEES " r >}1'; SWIM POOL, COMM '' WATER SOFTENER VENT SYSTEM"�FAN.� ;EVAP: COOL, I HOOD L SIGN ''% ( WASHER (AUTO)(DISH) APPLIANCE V*- '1' ' I DRYER PI C cker Final �Dale^� X^ / / 2 GARBAGE'DISPOSAL -% = FURNACE UNIT WALL FLOOR SUSPENDED Unit LAUNDRY TRAY AIR HANDLING UNIT CFM $ IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Branch TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Registr. Fee $ POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Reinsp. Fee AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB Zip SQ. FT. @ c WATER HEATER $ ��.+- I S0. FT. RESID @1'/.c SEWAGE DISPOSAL City -SO. FT. GAR @ 3/4 c HOUSE SEWER Received by -A" Contiocior (� i,Lx GAS PIPING PERMIT FEE Tel. PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK'. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE ) 419. I ' 9,`< PERMIT NO. 426951 verified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Job Address �. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH - / Space Zip Owner IAL ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Community Voluotion $ 3 79 S Date ,. - Dlst. 1 .pOH. 1 F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ t Use of Permit rV t� VV rn,. 4 t r.� .�- 1\ 4 4 � - � f�C ��„ Parcel, No. Use/Case No. Ck. By Mech. Fee Dbl $ PI. Ck. Fee $ IA 9, RA Set Backs Lot Size ` J ' 0 C3 Construction Fee Dbl $ Legal Description +<1�� o •jl,. „ 1 1 �1F 1 i F /' S tom'• S t R� � Electrical Fee Dbl $ Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. PI C cker Final �Dale^� X^ / / 2 Inspector Unit Sp. Insp: Fee $ Demol.Fee $ Const. lender Branch Supplimental Permit Numbers i Registr. Fee $ Mileage Fee $ Address ' City Zip Witness Fee \� $ Reinsp. Fee $ Owner/Agept Tel. Zip Total Fees $ ��.+- I Address ' y f i</r/ City Zip M.O. 01 CoshO Chec r.1 Received by -A" Contiocior (� i,Lx '" 'ff Tel. Licensed Trees required V Sewage System Address - o x 7/ t 9 A Cit Zip T Ll P Sewer District Form 284=208 (Rev.8/78) @s • THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN IAL ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. V t_ NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs & 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 10A Fireplace T. 0. Ej 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 Fin PLUMBING APPROVALS 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