00019109 (SFD)WAMe(jAp
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CA 922530000
�all w 16 "Aill R E S S I S
PACE CALLE ROSARITA
CO 'jvIp
CA 922530000'
130KPAG C C TWN RNG SE S
)28 3 0000 00
63 .5130 (PR
SB
61449'6 Je174
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• TRACT NAME
A ER .RHONE I
rHATA, JOINT VENTUR
gamu."WOURATI(SAN 7 2
WV01 EISENHOWER R
. DL
CIWCOiMrlSfTEIZIP , t 'NIA CA 922530000
7INZY-564-13-1-5- INSPECTOR FINAL DATE
ARCIENG FIRM NAME I LICNC #
_[APDRESS.-
.PLAN N' PLANS EXAMINER APPROVE DATE
USE IT
ATT CAR (G-3)
I
FSB 1j) 0 U. tfFAD
ZONE ORD p. LOT SZ END 0 0 bDb
D/A-11�
THIN'S 0 aJAR 12 25874
TOTAL
:EE
-[COUNTER
PA
ICK
INC
B..
COUNTER L.U.T.
'- -
F RM ilS4 .20i(1'1';l)
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
I
Set Back
33
Ventilation System
2
Figs 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.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 (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
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UPS / W N
{J V k� {i
22530 0 0 0
C.T�47C0�1 llrT`6(s��T IZIP p A 922530000
iR
PERMIT APPLICATION
MITI(C011(IT�{IgtlLT)RTtTAIZIP
CA 922 30000
13b
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County of Riverside
c
Viol 0
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S
FNS
67 LT4496 U d
Department of Building and Safety
J
Q
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SB
4080 Lemon St. 2nd Floor
135 N. Alessandro Rd. Rm. 203
880 N. Slate Street 227 North "D" Street
46209 Oasis St. Rm. 310
160 N. Broadway
0�1. py.�Q�ay
L1�7tiis?6/2
Riverside. CA 92501
Banning, CA 92220
Hemel, CA 92343 Perris. CA 92370
Indio. CA 92201
Blythe. CA 92225 '
I,r
�•` '
Ph: 787.6146
This nermil becomes void it work not commenced
Ph: 849-7312
within 1110 days from dale m issuance.
Ph: 658.4464 Ph: 657.3898
nR it wnrk has hear nrcnended nr abandoned lot a period of 180 da s
Ph: 342-8271
Ph: 922-2670
-
ro
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc-
Ing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect.
'd
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
folfowing 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-
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).):
❑ "l, as owner of the properly, or my employees with wages as their sale 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 sate. 11, however,
the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
R' 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 10 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.)
❑I am exempt under Sec. B.8 P.C. (Attach Certificate).
r- ,._ .
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure. or a
ryM.certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.).
S•❑Certified copy is hereby furnished.
-..❑Certified copy is filed with the County Building Inspection Department or County Department.
y.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION IASURANCE: This section need not be com-,
pleted if the permit is for one hundred ($100) or less. I certify that n the performance of the work lot which this'
permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
tion Laws of California.
Date Applicant
NOTICE TO APPLICANT: If, alter makingthis Certificate of Exemplior, you should become subject to the Workers'
Compensation provisions of the Labor Code. you must forthwith comfly with such provisions or this permit shall bel
deemed revoked. -
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
01 hereby certify that no excavation live (5) or more leel 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 (36kleel high. (Chap. 3.2. Grp 2, Art 2. Sec 341,
Title 8. C.A.C.).
[3 As owner -builder. I will not employ anyone to do work which w9uld require a permit Irom the Division of In-
dustrial Safety, as noted above. unless such person has a permit m do such work from the division.
❑Division of industrial Safety Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is s construction lending agency for the perlor-
mance of the work for which this permit is issued (Sec. 3097. Ciu 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 1pformation given is correct. I agree to comply with all state laws and county ordinances relating to
building cons) uction, and authorize a representative of the County co Riverside. Department of Building and Safety
to enter up�f the propert 'for wrioh (have applied for this permit lar the purpose of making inspections.
X I t / ) ' e-
- fe,61 Aftlicant or Agent Date
Print Applicant/Agent Name
ESTIMATED PLAN REV FEE .0
l
'
UPS / W N
{J V k� {i
22530 0 0 0
C.T�47C0�1 llrT`6(s��T IZIP p A 922530000
iR
OSARtGI.TA�:1
OO�S��rSR�ES�S/SPACE CALL E
Iw.
MITI(C011(IT�{IgtlLT)RTtTAIZIP
CA 922 30000
13b
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TWN
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67 LT4496 U d
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74
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TRACT N�t�{AgqMfAy�tE��
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tpfR {�i.1 SFF331O
WHOJOINT,
p - JOIlq T, VFNTUJ�
rs HONEd
AA
f��N�9Y*FIlr.e )ORATION V
0�1. py.�Q�ay
L1�7tiis?6/2
�i1'99VI EISENHOWER DR
LI P(CO�It 1 IZIP CA ' 22530000
7T.4-564-1-315
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC p
ADDRESS
CITYICOMMUNITYISTATEIZIP
PLAN R
PLA EXA ER
A;VE DFyTE
Ii// �/
I�$� QFC p y� {y «g
r,;,Uq 5LDWLG. $1 ATT„ OR >
.WUBU
it
800
RAN
FSB
VUEj
$Q��G'n�`y�;
V{!0
p
d11D
ZONE ORD p
LOT SZ
END
g(p[
y.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION IASURANCE: This section need not be com-,
pleted if the permit is for one hundred ($100) or less. I certify that n the performance of the work lot which this'
permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
tion Laws of California.
Date Applicant
NOTICE TO APPLICANT: If, alter makingthis Certificate of Exemplior, you should become subject to the Workers'
Compensation provisions of the Labor Code. you must forthwith comfly with such provisions or this permit shall bel
deemed revoked. -
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
01 hereby certify that no excavation live (5) or more leel 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 (36kleel high. (Chap. 3.2. Grp 2, Art 2. Sec 341,
Title 8. C.A.C.).
[3 As owner -builder. I will not employ anyone to do work which w9uld require a permit Irom the Division of In-
dustrial Safety, as noted above. unless such person has a permit m do such work from the division.
❑Division of industrial Safety Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is s construction lending agency for the perlor-
mance of the work for which this permit is issued (Sec. 3097. Ciu 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 1pformation given is correct. I agree to comply with all state laws and county ordinances relating to
building cons) uction, and authorize a representative of the County co Riverside. Department of Building and Safety
to enter up�f the propert 'for wrioh (have applied for this permit lar the purpose of making inspections.
X I t / ) ' e-
- fe,61 Aftlicant or Agent Date
Print Applicant/Agent Name
ESTIMATED PLAN REV FEE .0
l
'
J
T-)TAL
=EE
$197.60
CA
CAI(�
NC
COUNTE B.I.
J
COUNTER L.U.T./
Y
-PERMIT FOR STRUCTURAL PLAN REVIEW
TOTAL. PERMIT COST IS x+197.60
I 'coN3'rRUGTION ESTIMATE (NOTE: Not to be used as property valuation)
Description FCC Group T ppe Sq Ft Rate Valuation
PRIMARY DWLG 101 €2 _ W99D 18?3 $27.60 $52246
SUNDRY PRIGAR 1436 M__1 WOUD 485 $9 to $4413
East Plan Rev Fere baked on 'Total Estimated Val`tn of $56659+ is; $197.60
FORM 284.208(11.91) INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR ,
BUILDING APPROVALS
. MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport. .
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O. E]
OP'N
NO.
ADDITIONAL INFORMATION
- '
I
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick "R•
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
PSL P)
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
5808
f
�^t �t., p �± n h t4
.�a.TY_/COIy1 j1 •lAi ;l Q'i21P CA Y22530000
@VS�jCq.lT aDRESSISPACE CPL` y,..^ RUSAR p A
P1 i.. Aw
II(y1�1(JIoTY�/$T
Y'O72
1 LIT�N(NCO AIZIP,-, CA��
5300
�}[3� �, }S®� 1 0 0 0
P9TWN
{JOW,9 i
4 6
I
910
1! o
s
U T4496 M
7$
Ul l
se
I
CA
TRACT NAME ,
L..iWEa (7DL:AgF`< II'A ,,j NTy,�VFN ! UIR
PHONE
ryJpOI
T'I Iblj ��FI 4a 8./t'�Y ORAT T{. N
#VYV Y EISENHOWER QTR �+qq �9 sy ! t� t�
&IT�X`COb1[r�UTU�TY(,S.riTzIP CY: ✓:.�.3«.��t:D UiV o0
11 !!'"'►i X411 i�J {�'�jj 11 ... ,
�; BMQNf�p�•;(=, �}_ J
31 C.^+
1 w7 II t,
4iNAME
BLDG. INSPECTOR-.�•: � � ..
FINAL -DATE..
AARCIENiG FIRM . f .- •
LICNC #
ADDRESS
CITYICOMMUNITYISTATEIZIP _
PLAN #
PLANS EXAMINER
APPROVE DATE
1U8
R,2N
FSB
on
is •.1 U
V 1/ ,
gF{y{1
'ZONE,OiRDN'
LOTSZ
END -fp
0
5808
f
l
TO AL .
�. FEE
CA
CK
NC
COUNTER B.I.
COUNTER L.U.T.
G�PiaLz A"ix ia! i=QR-fS�ilt�illRf�L. PLAN FiC»VIIEW
x 8 A' N' A P P L l d A T Y 0 N U� N L. Y
9'`,00 must see the fsa.11owinsx. Depa.rtm..en.tss (if lxs5t4d) for conn ur�€�c�nce BEFORE
a�k'armit tescripfioviisassu d; �..... ..... .. X?a.t to See
--RQAD� 'HEALTH ND USE)LID LA
1
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 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. 0
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)
128 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
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