00019104 (SFD)�P7Q JY�IufYA W{J'`��
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780
LICO •Q NI IV IA�EIZIP .. CA V eZ.�b/30 0 0 0
`l,(bS1TE.J.[�( DRESSISPf AACE CALL O A A
IP11CaO�jMN]l�J•!� T j�IZIP CIA 92,253000 0
+ BO G R
OTWN RNG
1061'aa 1 0000
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q Vp'l OSEQ
S
j' TRACT NAME
�(
AE NI IA dATA � JOINT
VE fa.�V� ONE �_l
"= cojl,T(ij�cTQ(i.FI�.VI�! ORATION "�",���►�72
ewcobh1l�pTV S,j(AIZIP. A '922530000
''
•y 7INf; 44-56 w 1 3 BLDG. INSPECTOR FINAL DATE
ARC/ENG FIRM NAME J LICNC�#
.c .
.� :ADDRESS
CITYICOMMUNITVISTATEIZIP '^
j
PLAN # PLANS EXAMINER APPROVE DATE
WABIW-DWIX . ATT- GAR (G-3) '
60 .. R EN -FSB lo
&6 0 ff.b U V k, , fFF5D
ZONE ORDq . LOT SZ END 0 n ��
®PU 66R.17 J1 04 45l.l+y-QITCi/, 2'5 8 1 Ir.
TOTAL .
FEE
CA
CK
NC
COUNTER B.I.
COUNTER L.U.T:,°�+I y .
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Figs 8 Frms
34
Plenums & Ducts
2A
Slob 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. 0. C3
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
-
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 SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "D" Street 46.209 Oasis SI. Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning, CA 92220 Hemel. CA 92343 Perris. CA 92370 Indio, CA 32201 Blythe. CA 92225 '
Ph: 787.6146 Ph: 849-7312 Ph: 658.4464 Ph: 657.3898 Ph: 342-.271 Ph: 922-2670
This permit becomes void if work not commenced within 180 days Irom dale of issuance. OR, it work has beer suspended or abandoned for a period of 180 days.
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commenc-
i }ng with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
Y
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 life 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 fora per-
mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
❑ I, as owner Of the properly, or my employees with wages as their sole compensation, will do the work, and the
structure is not intended or ollered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
F1, Law does not apply to an owner of properly who builds or improves thereon, and who does such work himsell'or
„ U)fpugh his Own employees, provided that such improvements are not intended Or offered for sale. fl, however,
the building or improvement is sold within one year of completion, the owner-buitder will have the burden of prov-
-Ing.IFial'he did not build or improve for the purpose of safe.)
❑I; as, owner of the properly, 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
itbuilds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con-
Iraclor's License Law.)
DE]l am exempt under Sec. B.& P.C. (Attach Certificate)
Owner
I.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.
t❑Certified copy is filed with the County Building Inspection Department or County Department.
1"1 �4i Mi twT.ryAML4C
'
8" 780
LWOiMbFS1YtWZIP CA 922530000
f3I0SIJEJJ(5RESSISPACE CAL t E L1l'1(•}.r RITA
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WE7091 EISENHOWER AR
COE4b8JNlT11I&9ikWZIP CA 92.2530000
ETA
P7p.1lN* -564" 8 3 f �,7
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC If
ADDRESS
CITYICOMMUNITYISTATEIZIP ..
PLAN p,
P EX INER —
APP VE DATE
ICU I -DWI IG. ATT OCAR (G-3)
Ctt1�
id 0
RVeN
. FSB
0 V J
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CIOV
JL SOD
ZONEORDR
LOT SZ
END
Lf 19 $(pEi
CERTIFICATE OF EXEMPTION FROM WORKERS' C06PENSATION INSURANCE: This section need not be com-
pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any nanner so as to become subject to the Workers' Compensa-
tion Laws of California.
Date -Applicant
NOTICE TO APPLICANT: If, after makingthis CertificaE of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code. you must Urthwilh 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 pernit, and that no buildingstructure. scallolding, lalsework.
or demolition or dismantling thereof, will be more than Ilirly-six (36) feet high. (Chap. 3.2. Grp 2, Art 2. Sec 341.
Title 8. C.A.C.).
[]As owner -builder. I will not employ anyone to do w3rk which would require a permit from the Division of In-
dustrial Safety, as noted above. unless such person tis a permit to do such work from the division.
❑ Division of industrial Safely Permit No.
CONSTRUCTION LENDING AGENCY: I hereby affirm goal there is a construction lending agency for the perfor-
mance of the work lot which this permit is issued (Se,. 3097. Civ. C.).
Lender's Name
Lender's Address
CERTIA)upo
TE OF COMPLIANCE AND AUTHORIZATION G F ENTRY: I certify I have read this appliralion and slate
that thefo ation given is correct. I agree to comely with all slate laws and County ordinances relating 10
building 1 uclion, and aul�orize �epresentalive of ne County of Riverside. Department of Building and Safety
to entern e�proper(`y lor_yh� aVe applied for this permit for the purpoself makq g ipecti�nS.
Signature of Applicant or Agent Date
Print Appticant/Agent Name
MO T"104 ICB 105n,"DA12 ,
ESTIMATED PIAN REV FEE Z197.60
25837
C�
1
fl
8 /
TOTAL
FEE
�i►1 �J I� .i0
CA
Ctt1�
INC
COUN E
COUNTER L.U.T. f
1 2583-1
-PERMIT FOR STRUCTURAL PLAN REVIEW
TOTAL PERMIT COST IS $197.60
Y.
CONSTRUCTION ESTIMATE (NOTEi Not -to be used as property valuation)
Description FCC Croup Type 3q ht Raze Valuation
Pit114ARY DWLG 101 R11. W0 1093 $27.60 $52246
SECNDR Y PR IC AR 4Z� M-1 WOAD 485 $9.10 $4413
CSS Plan Rev Nee Pawed on otal.- Estimated Vai'tn of x$56659 iss- $1,9'x.60
FORM 284.208 (1181( INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVfLLS
1
Set Bock
33 Ventilation System
2
Ftgs & Frms
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets & Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39 Appl. Clearance
7
Framing
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L.
43 Final
10A
Fireplace T. 0. ❑
oo
ADDITIONAL INFORMATION
t
1
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick "R" -
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME-
Y�1pPp[id€�$ T.ryJAAMryL RT 1 -
1��s1�yI1�1Gh77yi��6T��E
&YdTyV[ t c q y �g q�
tw.l'i°OG3iJ:6i*tIJEZIP 6iP1 �ia� ;lW�l000
q:7ii77-JFjVARESSISPACE CALK pSA7ITA
EYOONMAZIPCA
A72P530000
d"
a#7.0 ,.
981
I
1WN
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n o
00
S
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P
11 t TQ.�? V Ti
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g
V°h
I SB
-
TRACT NpAMryE�
1 ,p� �1 y f spy
G:W1N{ R,W16J. Lltl f�YY.9 cI•�I JL I'E 9- VEE 1 UR
�PHONEN
.Tq,FIj.M0WJ4 ORATION
LV -7 r)
36,
.I :�•s�' �4 HOWE R DR
�jy�1U(J�T�EISENHOWER
T� �f� �y
i'9CoU71.! 4.1Y,h11ZIP �A ^ �.�J .7 Q .0
71"1'"564"1315- .
BLDG. INSPECTOR . •-
FINAL DATE
ARCIENG FIRM NAME
LICNC p ..
ADDRESS -
CITY/COMMUNITY/STATE/ZIP -
PLAN# -
PLANS'EXAMINERAPPROVE
DATE'-�
129N
FSBoU
U '
0 10 l!
o V 41
F.FiW 7v/
.ZONE ORD #
LOT SZ
END
AP
q�+qyp��y , ¢y /��^9 .fig p�otyr `
9y AP-PLI .M 1'.b �- •� V(i .STRUCTURAL f C31F #iF. VA G.�.V
r r «,.. I 'i • .�� . I. o' I S- A N A P p• L.. I C. A, T I 0 N• O N L. Y.
'vu nus,T ste 'The followin
a Permit "'cin be aissuwd: � Departments (if listed) for concurrence BEFORE
.... , %efacr:t tion
s HOL D -RPAD HAL` H LA T 'c o
a
FORM 286.2081>>'811.`INSPECT K
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
d Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Comp•essor
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
10A
Fireplace T. 0. 0
P'
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
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