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00019108 (SATT)
F i�'�Pt0.:.�A�W fBMi'•... • 'pS,itp(SI 780 CO� Q� �+g �y It C0451♦�i 1-�1�AIZIP CA 22530 W 00 �A Pv A- 922530000 q� q p �y q JO@,S)l QDRESS/SPACE CAL 1 E RU�7AR dL7A • �IT.j(ICy04'PiJNLIIT j gIZIP CA. 92'25'30000 �,OJrI I eft A P�7 W 0I 16,158 TWN. UNU UEV S RM496 SB i TRACT NAME ~ pWt�ERl{7OV A Illf'V...i JOI fvT...VEN 1 UR :PHONE k ° 1 ORAiION AeW?Ml EISENHOWER DR q �y +� pp�{ry(�01 _ cACOV/.{� tt AA/ZIP CA 922530 V 0 V • pp[�NFy ''��y p�.J�_��gjj b J BLDG. INSPECTOR FINAL DATE Af RCIENPG FIRM NAME - LICNC # ADDRESS - CITYICOMMUNITY/STATEIZIP PLAN W { PLANS EXAMINER APPROVE DATE ' ' dtfAp�i`�IT•�WLG ATT (,-,,AR (r,--3,) uU .. �N FSB 000 Utfit' UTfU V14 ZONEORDN LOTSZ END - .0 W D06 Wo-oRA�j10 a Ua AR 05 �BDY8.L2. W � 873 TOTAL . FEE', CA I CK-' NC COUNTER B.I. COUNTER L.Uj.:: ' NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock 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. C] 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 (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 PERMITAPPLICATIONAPPLICATION Department 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 dt. Rm. 310 160 N. Broadway ' - • Riverside. CA 92501 Banning, CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio, CA 9221,1 Blythe. CA 92225 Ph: 787-6146 Ph: 849.7312 Ph: 6584464 Ph: 657.3898 Ph: 342-827r 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 perio0 of 180 days. LE o LICENSED CONTRACTORS DECLARATION: I hereby alfirm that I am licensed under provisions of Chapter 9 (commenc- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. I❑ OWNER -BUILDER DECLARATION: I hereby affirm that I 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- 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 five hunderd dollars ($500).): ❑ I, 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 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 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 for the purpose of sale.) Of. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. V 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.& P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -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. P�a9gg1p1S�I��iSY+Tietl�AM n� &yURs 780 L1W0 .I1TVViVZIP GAgL} X922530000 �p J.OEiiSe6%5RESS//SPTA�C�E CALLE RRO SAR+ITA; i•• ET)'1COMMUNB7YdSP�WZIP „�y CA 922530 V U Q AAa.. YYM7'ii 11Y 1ani iVt PV's�GJ 1 TWN no In S Vii` T4496 V17:3 WV1 SB TRACT NAME LVWRN46M/A., JOINTVNyUR HONE0 r?NVEp9FIM� ► q L&.3f\P{RYi 6v0 y WyEISENHOWER W1 WIP LAC01CA 922530000 71 IN.%p 15 rL 4-1 s'i I CI' 67N^Af a7 7 BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM ME LICNC p ADDRESS CITY/COMMUNITY/STATE/ZIP PLAN II W✓ APP VE D TE �� Cy��;yY�V�'CYT:1)WILC & A'1°�'g�gG� GAR o R 49 FSB oupo �(tr,-g;�gg) U U V on �,Iy� :1F9YY ZONE ORD N LOT SZ END 0 ey VID CERTIFICATE OF EXEMPTION FROM WORKERS' COMPE JSATION INSURANCE: This section need not be com- pleted if the permit is for one hundred ($100) or less. I c3rlify that in the performance of the work for which this permit is issued. I shall not employ any person in any mar -ler so as to became subject to the Workers' Compensa- tion Laws of California. ' Date ApFicanl _ NOTICE TO APPLICANT: 11, after making this Cerlificate o: Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code. you must lorliwilh comply with such provisions or this permit shall be deemed revoked. ' DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATI ft 01 hereby certify that n0 excavation live (5) or more feet i. 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 Ihgreol. will be more than thin - -six (36) feet high. (Chap. 3.2. Grp 2, Art 2. Sec 341, Title 8. C.A.C.). ❑As owner -builder. 1 will not employ anyone to do work: which would require a permit from the Division of In- dustrial Salely. as noted above. unless such *person has a permit to do such work Irom the division. ❑Division of Industrial Safety Permit No. CONSTRUCTION LENDING AGENCY: I hereby affirm that Rhere is a construction lending agency for the perlor- mance of the work for which this permit is issued (Sec. S097. Civ. C.). Lender's Name Lender's Address CERTIFIOATE OF COMPLIANCE AND AUTHORIZATION OF iNTRY: I certify I have read this application and state that the ir(f ation given is correct. I agree to comply with all state laws and county ordinances relating to building cof Riverside, Department of Building and Safety to enter u on/ hg,prope ryw o1F l ave applied for thb permit for the purpose of making -inspectio ns. Signature of Applicant or Agent Date Print Applicant/Agent Name V T TTF 10 S ESTIMATED PLAN REV FEE � y 2WS39 91 . b TOTAL FEE ' $197.60 CA CKA NC COU ER` J. COUNTER L.U.T. PERMIT 1*1111 STRUCTURAL PLAN REVIEW S FtM1'1 C:O,�i z3 $197.60 CONSTRUCTION ESTIMATE (NOTE,; Not to be used as property valuation) Description FCC Gro T e Sq Ft fi�ato VaJ�u<iti4r� 1 PRIMARY IJWLG 1 Q 1 R-3 L 696 1093 $27.68 $52246 SEC;NDRY PRIGAIR 436 M-1 WOOD 400 4q.�6i . $441'3 Est Flan Rev Fee based an 'Total Estimated Valltn of $56LIT isl $157.60 FORM 284.208(111.811' 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 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 i 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final 10A Fireplace T. 0. C] P' ADDITIONAL INFORMATION - A t - ..1 ' 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 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 jKab TtjAM6S1.dF1`o .-. 9URs 780 ETA COT ar"ivZ1P CA 922530000 pT8�ylSke@M�pp�QU�O�lR47E�SySgISPTACE pt h l L E- p C7 !_. A R I T A {r 44L 1. 6. +��919`f2oA2530V00 VCVO `J{SF •ley I.i .1. tV t 21P {� p� ' CA. P'OTWN a U y�1i © w® S UIT4496 V173 011 1 SB TTRAy1CT N�Ay�M�y1E� A, y�_ (� s, q p, RR,,0,,,ppU.XJ'`l � JIAJ'yA�1ryY 1 rHONE# (I.;;.pWP1I �.IM!M�&)9 s'�'VEIeTUR F'11�{1/C,iV FIB 6MAM C"© .►71 .6 14 ..36 y�L cy 7r. wP/L10Y�NVEISNP'CiER DR &TAcorI "' LA - 92253000,0 - BLDG: INSPECTOR , FINAL DATE6A-3b ARCIENG FIRM NAME LICNC M 'ADUESS ' CITYICOMMUNITYISTATEIZIP ' PLAN.# PIANS EXAMINER. APPROVE DATE ,�U=TT-DWM A••rTg�gG.AR W Q/, R Z!?N 'FSB . �a U U g(�G-�g��) 0 OJ ;i7 �{) 4➢ ' qp�y� 10`iD . ZONE ORD # LOT SZ ' END n ASIDEx PTO 1 U 0 X k� 10 ):S TOTAL . FEE ' CA CK NC I COUNTER B.I. COUNTER LU.T. APPLICATION FORSTRUCTURAL PLAN REVIEW 1 us Y' 46 I I S. A N A P' P. L I C A i 1 C N 0 N L Y Y'OU'•OUS_t see They ,fol lowing- Repartments (if 11.9 -ted) for- conn ur're�nce BEFORE a Pee mll , can bissued 1 Daicaa r'Zion .. .. . M. ww. o � p._� .. depp t to See . HOLD -ROAD , •• L i M `�� LAi�l�� ML 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 IDA Fireplace T.O. ❑ OP'N NO. ADDITIONAL INFORMATION 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