00017387 (BLCK)County of Riverside
Department of Building and Safety
4080 Leman SI. 2nd Fiber 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 91501 Banning. CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio, CA 92201 Blythe. CA 92225
Ph: 787.6146 Ph: 849.7312 Ph. 658.4464 Ph: 6573898 Ph: 342-8271 Ph: 9222670
This permit becomes void it work not commenced within ISO days from date of issuance. OR. it work has beer suspended or abandoned for a period of 180 days.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc- pleted it the permit is for one hundred ($100) or less. I certify That in the 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 full 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 of California.
11
OWNER -BUILDER DECLARATION: I hereby affirm that 1 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 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-
empl thereliom and the basis lot 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).):
❑ 1, 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 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,
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 lot 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 contractors) licensed pursuant to the Con-
tractor's License Law.)
_
01 am exempt under Sec. . 8.8 P.C. (Attach Certificate).
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.
APPLICANT NAME It, F. MI)
PETER IRONOUSKI
ADDRESS
867 MAY ST
CITY/COM MUNITY/STATEIZIP
MONTEBELLO GA 906400000
J013 SITE 77955 ESSISPAGE CALLS COLIMA
CITY/COM M U N ITYISTATEIZI P
LA GUINTA CA 922530000
BOK
77411
PAG
35
PRC
001
C
4
TWIN
0000
PING
SE
00
S
TRACT LOT
000000 0024
MOD
011
SB
TRACT NAME
SCVLAQ 423 HLK 240
OWNER NAME
CONST!iTUTION, SAVINGS F MIT)
PHONEM
PETER FIRM M I R ONOUSK I
L1 '2"5725
ADDRESS
867 MAY ST
CITY/COM MUNITYISTATEIZIP
MONTEDELLO CA 906400000
PHONE N TOR FINA
213
ARCIENG FIRM NAME LIC"
ADDRESS
CITYIGOM M U N ITYISTATEIZI P
PLAN N
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
6XI50 WOOD FENCE TO DWLG
BL ZON
00 R--1
FSB
SSB
000
SSB
000
RSB
000
OFC
IND
ZONE ORDN
LOT SZ
END��yy
4SIIDE000
I/
uale _ Appucanl
NOTICE TO APPLICANT: If, alter 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 certify 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 building structure. scaffolding, lalsework,
or demolition or dismantling thereof. will be more than Thirty - six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
Title 8. C.A.C.).
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.).
Lender's Name _
Lender's Address
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state
Mal the f nformation. given is correct. I agree to comply with all state laws and county ordinances relating to
building construction, bnd authorize a representative of the County of Riverside. Department of Building and Safety
to enter upon the pro rly for which I have applied for this permit for the purpose of making inspections.
Signature -of Applicant or Agent - Date
Print Applicant/Agent Name
APPLIPRIAT 000173137
P,
04/29rE82
6 2
6x150 WOOD FENCE
TO
410.00
I
TOTAL .
FEE
$10.00
CA
ICK)(
NC
COUNTER% B.I.
I / w
COUNTER L.U.T.
fvL
�r
P E R M I 'T FOR 6X150 WOOD FENCE 'TO
TOTAL PERMIT COST IS 410.00
6X150 WOOD FENCE TO
FORM 284.208 (11.81) ! NSPECTOR
410,00
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 Compart.
3
Steel
36 Inlets 8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck Ad
39
Appl. Clearance
7
Framing
40 Fire Domper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10.
Fireplace P. L. 0
43
Final
IDA
Fireplace T. 0. E]
NO
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING A O
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disp6s6l'
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
MM 1 1FIt 1 J.ON i SAVINGS
PHONE#
tq sy
DRESS
HAY ST
CA 906400000
P}TOi Y-72` -524 �i
BLDG. INSPECTOR
FINAL DATE
'1 ARCIENG FIRM NAME
9 -
LICNC #
ADDRESS
CITYICOMMUNITY/STATEIZIP -
PLAN #
PLANS EXAMINER
APPROVE DATE
usggF�P� 1T WOOD FENCE TO DWLr.
i.J
. '6 00
67
00-1
bb()SdBo9.
tTWDdj
,I {'
Ioseb
ZONEORD#SZ
al
END
p
0 001 X367 41 104/2p
26949
TOTAL
FEE
CA
CK
NC
I COUNTER B.I.
COUNTER L.U.T.
p" � _. - -�-.r..-� .--. �...., r -r •--. ..�..�•.--...rte •� �_.-+.... -,..- .�. ,--• -� - -• _. -. .- .-, .-_� .--r -•• - . - ._ _ a.�w . _ _ _� ��r , _ _:
71 269
APPLICATION FOR 6XMJI WOOD FIENCE; TO
i
,x. T I a A N AP P L. I C A T 1 O N O N L Y
4A r
FORM 284-M (11 .81) 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
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.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
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