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00019116 (SFD)PERMIT APPLICATION County of Riverside Department of Building and Safety n1 4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "D" Street 46209 Oasis St. TIM 310 160 N. Broadway Riverside. CA 92501 Banning. CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 787.6146 Ph: 8497312 Ph: 658.4464 Ph: 657.3898 Ph: 342.8271 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 period of 180 days. ' a CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATON INSURANCE: This section need not be com- LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 ( comment- pleted if the permit is for one hundred ($100) or less. I certilylhal in the performance of the work for which this i is issued. I not employ any person in any manner so as to become subject to the Workers' Compensa- ing,with Section 7000) of Division 3.of the Business and Professions Code. and my license is in lull force and effect. pon of shall 0 Dale Applicant , OWNER DECLARATION: I hereby [hat I from the Contractor's License Law for the NOTICE TO APPLICANT: 11. after makingthis Certificate of Exemption, you should become subject to the Workers' -BUILDER affirm am exempt y following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con- Compensation provisions of the Labor Code. you must forthwith ;amply with such provisions Or this permit shall be deemed revoked. `struct. alter, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant lot such Np}A�M61E� 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 Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- Jempf therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- pl hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend. will , mit subjects the applicant to a civil penally of not more than five hunderd dollars ($500).): be made in connection with work authorized by this permit. and :hat no building structure. scaffolding. lalsework,f.' 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 with wages as their sole compensation, will do the work, and the Title 8. C.A.C. ). 'L structure is not intended Or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License OAS owner -builder. I will not employ anyone to do work whiLl would require a permit from the Division of In- k' Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or dusirial Safety. as noted above. unless such person has a peril to do such work from the division. L Ahrough his own employees, provided that such improvements are not intended or offered for sale. If, however, ❑ Division Industrial Safety Permit No. 1 the building or improvement is sold within one year of compfetion. the owner -builder will have the burden of prov- of _ ._ Ing that he did not build or improve for the purpose of sale.) REN SOI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. CONSTRUCTION LENDING AGENCY: l hereby affirm that there is a construction lending agency lot the perfor- 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who mance of the work for which this permit is issued (Sec. 3097. div. C.). ;builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- Lender's Name *!tractor's License Law.) Lender's Address pl am exempt under Sec. B.& P.C. (Attach Certificate). LOT SZ =Date Owner CERTIF ATE OF COMPLIANCE AND AUTHORIZ pN OF ENTRE: I certify I have read this application and state 0OWE) that the building i ormation given is cor ect. .ogre to Comply with ill state laws and county ordinances relating to o structionand Built ie repr�s lg'f of the Couny Of Riverside. Department of Building and Safety ,i WORKERS' COMPENSATION DECLARATION: I hereby affirm That I have a certificate of consent To sell -insure, or a .7 certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. lab. C.). t0 enter � n the pr perty for IT fit IT pligApr this permit lot the pur se of making inspecli ns. � � /) .� l(p QCertified copy is hereby furnished. A Certified copy is tiled with the County Building Inspection Department or County Department. y Signature of Applicant or Agent Date -7'IM T4AM�bFP 05tss7tO TT��CO�, IZIP II -pi CA 922530000 22dx0(0n r.LpgLSUE 03RESSISPACE CAE pOSA R T A ,0004M�Un0 0 Jfp1wZIP A 922 B103PlAr- 0 w W 7WNcno to SIWW U dT4496 61 '77 V f A SB Np}A�M61E� pTRAp1C�T fi�}1 ,d�, JOINT y OINT VENTUREHONEI �MpW(I�`�7gR�t77pWp1g►oi1µ1p1�"41 ORATION 6i\(P� ORA�I1'}±I�ON r� p,�L )�j LIwP.Qr 3 P~f 2 �NQQIIV ��t$l$$M7�7Q-FI #`99V1 EISENHOWER DR F.ITA !'i Ia'zIP CA 922530000 7T. -T-564— 1 3 15. A �7 s.i BLDG. INSPECTOR FINAL DATE . ARC/ENG FIRM NAME LICNC B ADDRESS CITYICO M M U N ITYISTATEIZI P PLAN Ng P EX IN ER& APP VE / y�SS Ir I.�1Lrb%5 1-DWLG 47 ATT AR .� lY �•�i ♦ V 0 REN FSB V 6! V {1 V V 4 1P 1i✓ I d.F{'Q i/ ZONEORDN LOT SZ END 0OWE) Print Applicant/Agenl Name trUIUITT�P.1160 ESTIMATED sr 2-,,PrrJL, t 58 4 3 2 r 1 U PLAN REV FtK . r ✓J TO—AL FEE•1 r `� CA CK�! NC COUATE9B.1 COUNTER L.U.T. _ "'ate PERMIT FOR STRUCTURAL. BEAM REVIEW TOTAL PERMIT COST IS $215.15 CONSTRUCTION ,ESTIMATE (NOTE o Not to be used as property valuation) Description FCC Group 'type FT Bate Valuation PRIMARY DWLG, 101 R--3 WOOD 2.218 $27.60 $61216 SECNDRY PRIGAR 436 M--1 WOOD 478 $9.10 $4349 'Est Flan bleu Fee,tpased on 'Total. Estimated Val`tn of $65565 IS $215.15 FORM 284.208111.81) INSPECTOR r 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. 0 43 Final IDA Fireplace T.O. P` ADDITIONAL INFORMATION + i ' 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 (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 "�z Y'IrftVTAAMd0 -My's 80 TyJG`Oblb}�1lJ�Ty'(�F[,TEIZIP Cl,A 9�?111.) :3 U. U 0 0 . . QjTB�'t�$tTE�j1115pR6ESJS$ISgP�AECE CA LE ROSAR TA, CALLE /C1 FA IIIWSSCllO11''IYY%lW:Gry6d 9F G�GG5300 V 0 . .. Tf {'921P ryh�9n bBOK3 A no el Co � C7 TWN ono u u Q yo S. UT4496 16T177 . W'f I SB TRACT NpAygMME�" yq,µ n JOINT 4.pFry" Ryliipl.>g•�Lrg�C�.9Nngi1"�4 s�7g. VK:1`ft1.UR rPHONEI /©I�}CT �y,(`� V'BY VIE" -Flee FL -C ORATION ,g �.y LICNQ p7�/ �ti e7a�. L R DR gpp�(('Eiy}p�AyJ iy�/,''[Tq��i�i�:�fHOWE y $ n {� j� /� �s',922530000 A ,,Li� ?JA; IZIP CA ,922av5�:7i 000 PkY♦AN4q,,,5 A--13.9 ttt .BLDG. i J INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC p .ADDRESS - CITVICOMMUNITVISTATEIZIP PLAN # , PLANS EXAMINER APPROVE DATE. UE. 'T-1Sl!LP -ATT GAR .�M ffN FSB Vi SVCC.iO g�i 21M ' ZONE ORD If LOT SZ END - o V4 1xv. 4si a(21YP2 25811. T011A . FEE . CA '" CK NC I COUNTER B.I. 70UNTER L.U.T. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I 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 Domper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA Fireplace T.O. P' 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 (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 .i iRJJ Kr IV A�iJ�� - Wks 780 1 F11comu 6 glzIP CA 922530000 I O�SfrE4PORESSISPACE CALLS R US A R I T `�•� (�922�30 ^'a r h . WCOp4�,�u1 wrW C4 V 0 a Idd �,�1G t¢V�RC O b 96a 64 TWN naac� RNG SE as S � 44.?b JU177 0°f 1. SB 1. CA - NA1M((E�vL�{(LL���fyy QpTRA�t��CT 1� 4� �p 'q+ , o p�+q+ q} 6.WWEyRR�p�4�Gii MLA 11A 1, 1 VEN Y UR o HONEp (�LJ�/G�IN Y6TQ�-Flet'" kF07i A 1 Q `fpp,-TN" t y��j. u�T,6 / 2 EISE idNi WER Did C wCOwf 9l.zIP CA 922530000 22530 U „ 0 0 p'71Nfap56 A— 1 31 py .BLDG. ea �.7 INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC It - ADDRESS `CITY/COMMUNITY/STATE/ZIP ' k PLAN p PLANS E%AMIN ER APPROVE DATE AiT� AR G -2g) gCj..UWbFB`LDWLG V n �tJ.�N FSB �SG� 9.61sA $$g( ala 1J Q V.{i g y� 1F�D ZONE ORO q LOT SZ END a s V° APPL/PRMT pPS DATE 000191/6 D D5/20/ TCTAL . FEE r, CA CK NC COUNTER B.I. COUNTER-LW.T.4' F rI NSPECT0R FORM 284208 (1181) NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock 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 IDA Fireplace T. 0. NON ADDITIONAL INFORMATION t T 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 32Final STREET NAME