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00016731 (SFD)� APPLICANT NAME;(L, F Mly �" " - a ,•. APP. LIPRMT p p:QE�17R I. PS A1� SAL hiuNi3T'lZI r ' LtT J3B'SITE AD�DRESSISPA CEAVE RAMIREZ r. CITYCO yVI,.h'AMUNITYTfT21P'.. C 1#5:3 u. PRC�- C _ TIM ... RNG SE. S Al1UAt?;Q 66V6, a 0�i SB i TRA(�CCTaa.N''AME PHONE M ti y ADDRESS 0.1I� � i ;• . •gq� yy��_�7 M �pS.y�� ♦y ■q■ 0 0AAMyw ; h, • ch, P ONE�,p'Y h�•'"nK BLDG: INSPECTOR FINAL DATE - , , 55 ARCIENG' FIRM'NAME. ¢ LIC NC N .; .. .. ADDRESS .. - CITYICOMMUNITYISTATEIZIP.'.: PLAN p`. �' PLANS EXAMINER APPROVE DATE' - ^OFPERMIT dr US : ; p - = t Ate 4 VRi: Z N (IJF�BN �.7r FJ rVS4�� g -.IJ gggg FnBV' �f9v6/ ZONE0 LOT SZ TOTAL FEE tla0 UU ICK.'"..:- NC ; COUNTER B Ir." . COUNTER L.U.T. r APP. LIPRMT p p:QE�17R I. PS A1� /1 l DATE - 3503 pis/Ca/£�'" v�(1 a j 'CA TOTAL FEE ' ICK.'"..:- NC ; COUNTER B Ir." . COUNTER L.U.T. f t 0 W L. Y vt � 'INSPECTOR [FORM 28E-2082 .t -i.x t.. .�:'..,�..,--n s.. �n. :.3�„ ___.:. 'h :1. •�•.✓�4 t.:.:..,. L�:`. M ..a :�; .. .... �� _i',• .� � ..nF'!if':P �. �:' f ._, �>t. +R� .. � ,- 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 10A Fireplace T. 0. C] 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 1 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 Riversid e Department of Building aid Safety 4080 Lemon sl. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State. Street .«., 'Q� _ �(' 27 North "0'' Street 46.209 Oasis St. Rm. 310 160 N. Broadway • ; Riverside. CA 92501 Banning. CA 92220 - Hemel. Cfa 9234) ` 'Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 y Ph: 787.6146 Ph: 849.7312 •pj{Y�tie{!Ph:-. 658-4464,,. ; .r.t`.Ph: (657.3898- Ph: 342.6271 Ph: 922.2670 ' This permit becomes void it work not commenced within 180'days from date of issuance. OR. if work has beer. suspended or abandoned for a perioa of 180 days. O CERTIFICATE OF EXEMPTION FROM WORKERSCOMPENSATION INSURANCE: This section need not be com-' •' LICENSED CONTRACTORS DECLARATION: I hereby affirm That I am licensed under provisions of Chapter 9 (comment- pleled if the.permit is for one.hundred ($100) or less. I cerlily that iri performance of the work for which this �. Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. permit issued. I shall not employ any person in any manner so as to become subject to the Workers' Campensa-; lion Laws 01 California. - Dale Applicant MOD 011 NOTICE TO'APPLICANT: If, after makingthis 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 Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be following reason (Sec. 7031.5•. Business and Professions Code: Any city or county which requires a permit to con- ` deemed revoked. ' struct alter, improve, demolish, ar repair any structure, prior to its issuance, also requires the applicant for such ILLC r; permit,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 Section7000) of Division 3 of the Business and Professions Code) or that he is ex- []I hereby certify that n0 excavation five,(5) or more feet in depth into which a person is required to descend. will 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).): be made in connection with work authorized by this permit. and [hat no building structure. scaffolding, falsework. ' LICNC N or demolition or dismantling thereof. will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2, Art 2. Sec 341, . Q I, as owner.of the property, or my employees withwages'as;their sole compensation, will do the work, and the `, Title 8-. C.A.C.). - ; - • -Structure is not intended or offered for site (Sec. 7044, Business and Professions Code: The Contractor's License ❑ As owner -builder, I will employ anyone to do work which would require a permit from the Division of Iri Law does'hot apply to an owner of property who builds or improves thereom.and who does such work himself or .not dustrial Safety, as noted above. unless such person has a permit to do such work from the division. ' Through his own employees; provided that such improvements are not intended or offered for sale. If, however, fSB the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- ❑Division of Industrial Safely Permit No. Ing that he did not build or improve for the purpose of sale.) 01, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is'a Construction lending agency for the perlor- 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who mance of the work for which this permit is issued (Sec. 3097. Civ. C.). builds or improves thereon, and who contracts tot such projects with a contractors) licensed pursuant to the Con- Lender's Name traotor's-License Law.) r Lender's Address xQlam exempt under Sec. - -, B.& P.C. (Attach Cerljlicale). ' Date- Owner CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read This application and state that the information given is correct I agree 10 Comply with all slate laws and county ordinances relating l0 ,:WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, ora building r`nstruclion, and authorize a representative of the County of Riverside. Department of Building and Safety certificale,of Workers' Compensation Insurance, or a certified'copy thereof (Sec. 3800. Lab. C.). - to enter upon the p operly lot which I have applied for this permit for the purpose of making inspections. � . ❑Certified copy is hereby furnished. Ocertified copy is filed with the County Building Inspection Department or County Department. (, '-Stgnalure of Applican rggent Date i •, Z j .,C,�,.,oi ' APPLICANT, NAME (L, F. MI) - HbRfid'. - DAN ADDRESS, . 3Ql Pox - 1630 CITY/COM MUNITYISTATEIZIP A JOBTE rDitDRESSISPACE - •'- - - sl:^Y'�rj5 AVE R-Amiitir-x CITYICOMMUNITYISTATEIZIP ISA G1tJTN A A 04253 W".00 BOK' 774 PAG 911' PRC ., Ole C 5 TWN U10t0 RNG SE 013 S TRACT LOT 0.1000 0 000b MOD 011 SB. TRACT NAME SGV 02.6 :PLK4 H5 {pi.:App�Q fj 'FCY PE (�8g91'Y)� .. -PHONE 4 CONTR DARN I:l IafM NA6' RN ILLC r; ADDRESS PUX 1638 CITYICOMMUNITYISTATE/ZIP. TALM.DESERT. CA 92260 0.0 010 PJN�EE q q BLDG. INSPECTOR `: i .FINAL DATE ARCIENG FIRM NAME LICNC N ADDRESS ' CITYICOMMUNITYISTATE/ZIP PLAN p P EX R' APP OVE DATE ' USE OF PERMIT - DWL G- :& AfT 'GARAOt BL?' 'ZON - fSB SSB,SB` S F - .ZONEORD# LOT SZ - od END' -SIDE Print Applicant/Agent .Name APPLIPRMT N P& DATE &0 01 &7;a 0 /a #I F3- 1 6. 7 I 1 I. 7 I�r i TOTAL FEE ' $151.77 CA. C NC 'COUNT R J COUNTER L.U.T. - PEI' M Cr PAS:'SVTKIC'✓TUP'AL:. PLAN EEVIE�. .CONSTRUCTION e-STMATEIMOTt Noa p�aa' s� riptlobFt:i G.rcsu�a<;:".iy.p S" E' Rate Vaivatie�n I p{� M'A`f3�f TD6JLia 10 9,11-1:51 1•. V --W,, 2 1.1 ; $27.6.0 $3 342a r 'SEC:NDR1 AIRLCO 90. R"..3 Et.1'1 s�. �.0 . ii2b64 SEQN�RY: PRIGAR'l.� •' a` M WL): 2U . t Q vs3<;�i F� ti R).141r0 8464 bated on `:lutea"1 ��t��a�a�t�c� Va.,I In :sit? $,:8999 isi $15 ,"�✓ t FORM'289'.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 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. ❑ 43 Final 10A Fireplace T.O. P' ADDITIONAL INFORMATION - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Intetnal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 Ceiling (B'afts),`— 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 e i lAP��PyyL��I;;yGANT,NAMgqE��'.(`Fyy,,f�MI):. - _ •: .Y._ � -x.; _ +7431".-•..6J�t'R ... ..n. fl, ADDRESS - �. g.pOMUNTYS ,�T€�ly{llIP•yl � :i((�.r qR7 - `�d.. w' 'vp,ya- 60 V _ .. .. , l•O S TA'.,,DRESSISPACE ICOM,YAI�ISi A721P CA 9,2g)53V 6Q -'O!, BOKPAG 7.4 611 RC Ala Irl " C. 5 "' TWN -ANG Utio0. SE'S' 6.0 - TRC :G :x000- . c o OT'; 4:0 1: SB ' .TRACT NAME •- ACV _LA -Q '026,, �4LKd' , 2815 • h ILb 1.11)h. N . A� 1�gfME ,��, 1�,��++RR//EyyE h � _NAAN J.P qqq AA�ii 77FF��11� ttCCff ��qq i�ptllMM1I.. ,'+iOP'fTY.WIfV:N(�GJ".t1i Dl�S 1630, �. ��I��O�UI��TMOA.S�Pf �Y'7 •'�4�..�F1V � � QV • �N � �. t1 n � - J aD BLDG'.INSPECTOR - FINAI DATE A 1 RClENG FIRM NAME -s ,. _ LICNC p - !ADDRESS s .i L,t CITYICOMMUNITYISTATEIZIP PLANI.. PLANS EXAMINER, APPROVE DATE �UyS{{EOFePttERM1Ty�y - ' AS�l4D ,lW } I cT91S W9�W. fN � 5� (�gy {l S" k - ZONE ORD If 'LOT S2 .' (n•�END•p%`► �ny 6D D(!E'' APPUi".• PRMTq '�e`'.. PS.0 DATE 01310 04/ /82 f - f TOTAL . FEE 'CA: .• CK ]NC.-, 'COUNTER B.I. COUNTER L.U.T. . <` AP -P L PAT gr 1`04 allCTtJ AL. P�AN REVIEW 1Pou cru �t � t u .lcr�a: rig 1'�par res rpt (AT 11,s.ted) f.ur c,onc urrence BEFOREDescriot-i '0Dept to..SooHEALTH4 HOLD— ROAD r NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs & 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. 0 43 Final IDA 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 Ceiling;(Batis).`' 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 WAGrounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME