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FEE
CA
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NC
COUNTER B.I.
COUNTER L.0 T.
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'pt T4496 `i L l
75
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� <TRACT NAME
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M3191 EISENHOWER DR
GEICO tV C►,ZIP CA, 922530000
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A 8 .i
BLDG. INSPECTOR
FINAL DATE -
ARC/ENG FIRM NAME
LICNC # ,
ADDRESS '
CITYICOMMUNITYISTATEIZIP '
PLAN # ITP
NS EXAMINER
APPROVE DATE
WOU DWL.1; ' & ATT GAY! (G -l9.
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QPit`�9i�a:A 1 In 05nor'S2 5 8 7 5
TOTAL .
FEE
CA
CK
NC
COUNTER B.I.
COUNTER L.0 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
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. E]
43
Final
10A
Fireplace T.O. 0
P'
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath '
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION
R,.
Thick 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 1
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
PERMIT APPLICATION
County of Riverside
Department of Building and Safety
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street
227 North "0" Street 46-209 Oasis St. Rm. 30 150 N. Broadway
Riverside. CA 92501 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: 657.3898 Ph: 342.8271 Ph: 9222670
n>
` 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.
0 -
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION: I hereby alfirm That t 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
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 a . na become subject to the Workers' Compensa-
tion Laws of California.
,r O
Date Applicant
NOTICE TO APPLICANT: If. alter making this Certificate OI Exemption, you should become subject to the Workers'
-OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt Irom the Contractor's License Law for the
Compensation provisions of the Labor Cade. 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, or repair any structure, prior to its Issuance, also requires the applicant tot such
.
.. permit to fife a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
k (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex -
b empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
❑I hereby certify than excavation five (5) or more feet in depth into which person is required to descend. will
MIT subjects the applicant to a civil penally of not more than five hunderd dollars ($500).):
with n
made in Connection with work authorized by this permit, and 113) no building scaffolding,
or Chap. 3.2 . Sec 41.
or demolition or dismantling thereof. will be more than thirty-six (a) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341.'
❑ 1, 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.).
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
❑ As owner -builder. I will not employ anyone to do work which,would require a permit from the Division of In --
q Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or
dustrial Safely. as noted above, unless such person has a perry t to do such work Irom the division.
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 burdenof prov-
❑Division of Industrial Safety Permit No.
Ing that he did not build or improve for the purpose of sale.)
Ell.
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
.
LENDING AGENCY: I hereby affirm that there s a construction lending agency for the perfor-
' 7044 Business and Professions Code' The Contractor's License Law does not a I to an owner of ro ern who
mance of the work for which this permit is issued (Sec. 3097.:iv. C.).
Irk builds or improves thereon, and who contracts for such projects with a contractoris) licensed pursuant to the Con -
r tractor's License Law.)
❑I am exempt under Sec. . B.8 P.C. (Attach Cerlilicate).
I 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.
k❑Certilied copy is tiled with the County Building Inspection Department or County Department.
Lender's Name _
Lender's Address
CERTIFI ATE OF COMPLIANCE AND AUTHORIZATION OF ENTRS: I certily I have read this application and stale
that the ofgqFFqq��ation given is correG.. I agree to comply with ::II state laws and county ordinances relating to
building obspuction, and authore d>representalive of the Coun�y of Riverside. Department of Building and Safety
to enter o1�Vt/p0 propert3�foi which ave applied for This permit for the purpose of making.inspeclions.
Signature of Applicant or Agent Date
TOTAL PERMIT COST IS $219.05
CONSTRU6,71 fN ESTIMATE (NOTEi Noir to be used as property val=:nation)
Description FCC Croup Te SA Ft Rate Valuation
P•R IMARY DWLG 101 R-3 W0,91) 2295 $27.60 $63342
SECNDRY Pt IGAR ' 436 M-1WOOD 457 $9. �0 $4158
Fee Plan Rev ee based on Total Estimated Val`tn of ?,6V-5 Q isi $21?.05
FORM 284.208(11.81) INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs & Frms
34 Plenums & Ducts !
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets & Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
10A
Fireplace T.O.
NO
ADDITIONAL INFORMATION
i
-
I
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas.Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P)
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
APPLb
5 7.a
E:�d°° f'x Tek ,ZIP CA) 7221,530000
JJbbRESSISPAC/E CA LGV&M1'A.RITA
,SVV�CZOE
0-
CA9225-3000
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VgR IJl FkA A y 300 N{ V 4: N F URPHONE
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If
57 p�gfCl �.y �ry q�,j y'�y (��
f i'41`t A16.6Y FIBM1.71i. 1'^ 6.iRA 1 X ON
q
LM•°1 N13672
A VT91 EISENHOWER SJR
°OlJl4/`6 i'� 1 I,ZIP . CA 922530000
,9NW`! 5 L A31
A ci7 d r- .44
BLDG. INSPECTOR
FINAL DATE
.ARO/ENG FIRM NAME
LICNC W
ADDRESS - -
CITY/COMMUNITY/STATE/ZIP _
PLAN'q "}"�•^-,
PLANS EXAMINER
APPROVE DATE
fai�.'i"DWILC ATT GARtG-1.) `
N
RG
Fesggry$®B.3.
gN 1
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1.
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LOTSZ
END'' 1.00Slp�
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25809
TOTAL'
FE°
CA
CK •
NC '
COUNTER 8.1:
:OUNTER L.U.T.
{
ti
ALII AT -1O - FOR .�. STRUCTURAL PLAN REVIEW
T H I S I 3 A..N A.i� P L,I C A T.I O N .0 N L Y
'You must see the ��ollow,ing, pepartments '(if listed) for concur°rbnce BEFORE
1: a ,Permit c.ari 'he issued i
Description �. rd.:�»�.� ._ � .. � ,_ b .. ... �.� a ��. •�,�_ ; De�a t t o See .
",'HOLD-ROAD,HEALTH LAD USE
FORM 284.208 (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. C]
43 Final
10A
Fireplace T. 0. C]
N�
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
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