00019102 (SATT)O'airrTY 1021 G49 0 5 /: TYD 25870.
y ey �y �y p�
�C�DT%j[Sd[-�'7JJ�DT�t1$�A7� p� 922510000
C COi:9 i D. 1 P'(IZIP C A 7 2I 510 0 0 0
ITA
CALLS ROSAR922530000
&oTbbSfypy�Uj�JR`TEyS�SIITSAPACE
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CA
TRACT NAME''
PER7pl.l'JOINT V N'y
)A) UR
HONE H ,
ARi.V�.W !,,j+JPcoQRAiIii i
IK8 672
fyffYi EISENHOWER DR
�C,IT�ICOfvtol(Tx(Sr4alP CA 22530000
' S
BLDG. INSPECTOR
FINAL DATE
-ARCIENG FIRM.NAME
LICNC k
-ADDRESS
CITYICOMMUNITYISTATEIZIP
PLAN pJ.PLANS
EXAMINER
APPROVE DATE
US E OF PERMIT
U DU-.DWLG & ATT GAR (G -I)-
G -i)-60
60
p yN
FSB'
966
0.6IJ
-ZONE ORD#
LOT SZ
END<
SIDE
0000'
O'airrTY 1021 G49 0 5 /: TYD 25870.
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 i3 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. 0
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
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
r County of Riverside
Department of Building and Safety
4080 Lemon St. 2nd Banning. Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "0" Street 46-209 Oasis St. Rm. ^.10 160 N. Broadway
'.' Riverside. CA 92501 Bing. CA 92220 ' Hemel. CA 92343 Perris. CA 92370 Indio. CA 92201 - Blythe. CA 92225
'`a: i Ph: 787.6146 Ph: 849.7312 Ph: 658.4464 , - Ph: 657.3898 Ph: 342.8277 Ph: 922.2670
,This permit becomes void it work not commenced within 180 days Irom date of issuance. OR. it work has beer suspended or abandoned for a period of 180 days.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATICN INSURANCE: This section need not be Com•
:y pleted it the permit is for one hundred ($100) or less. I certify If[at in the performance Of the work for which this.
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment- permit is issued. i shall not employ any person in an manner so as to become sub'ecl to the Workers' Com ensa-
Ing;with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. pen Laws of California. Y f p
Date - -Applicant
o a NOTICE TO APPLICANT: II, after makingthis Certificate of Exemption, you should become subject to the Workers';
j • OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contraclor's License Law for the Compensation provisions of the Labor Code. 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 for such
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:
a+(Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- 01 hereby certify that no excavation five (5) or more Leet in dept( into'which a person is required to descend, will
TI empt therefrom and.the basis for the alleged exemption; Any violation,of Section 7031.5 by any applicant for a per- be made in connection with work authorized by this permit, and 1 ial no building structure. scaffolding, falsework.
J mit subjects the applicant to a Civil penalty 01 hot more than five hunderd,dollars ($500).): •_
ri , or demolition or dismantling thereof. will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
❑ 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. ).
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- i
Law does not apply to an owner of property. who builds or improves thereon, and who does such work himsell or dustrial Safet as noted above. unless such person has a p emit to do such work from the division.-
through
ivision.
Through his own employees, provided that SUCK improvements are not intended Or Ofleretl for Sale. II, however,
Y P P
the building Or improvement is sold within One year 01 completion, .the Owner -builder will have the burden of prov- ❑ Division of Industrial Safely Permit No. –
ing that he did'not build or improve for the purpose of sale.)
4 ❑blas owner of the property. am�exclusively contracting with licensed conlraclors t0 construct the project (Sec. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for Iheperfor
` 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who mance of the work for which This permit is issued (Sec. 3097: iv. C.).
builds or improves thereon, and who contracts lot such projects with a cont(actors) licensed pursuant to the Con- Lender's Name
:ztractor's License Law.) - Lender's Address
01 am exempt under Sec. - , B.& P.C. (Attach Certificate). -
DateOwner CERTIFIgATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state
- - that the into lion given is correct. I agree to comply with all state laws and county ordinances relating to.
1 •,+'-WORKERS: COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, ora building co Str Ilion, and authorize a representative of the County of Riverside. Department of Building and Safety
cerhficale of Workers' Compensation Insurance. Or a certified copy thereof (Sec. 3800. Lab. C.). to enter/�'uY(tjfJon a Qp oper yTd whit 'I" ave applied for This per�lit for the purpose of making inspections.
3 yr.
�,. Cerlilied'co Is hereby furnished. - -
t,� . • • pY Y Signature of Applicant or Agent Date
o: ❑Certified copy is tiled with the County Building Inspection Department or County Department.
Print Applicant/Agent Name
APPLICANT NAME F M^ - _
-AND :>`f..C, ? tb s �DIOR3TfY U ? - $3 0. /'al, � 25836
bi
SS S .1 70 �CxP�A'i -PLAN RSV F E `
1 T_,A °TyIT YTA/ZIP CA 922530000
t. -
4C @t$l7F�AQDRESSISPACE CA LE ROSARITA
e'`iS 6I1 JJ...LL a1 S{ 1•®W g+ tl� 1J 114 .i• 1`i
L.�I CO ZIP r e
(igt lii'GFl (y7 T / Chi 92253000/0,
`.Oiet 1�`K7 Fi' �r6. TWN V V 0 WV S
TRACT NAME -
'Od!W�Y➢TER::w HONE#
WJM)7)JOINT VNW
pryIQILM.FlCOCY�ORATION
#7901.LIa AiD #kyJ. WC` v/y
-
EISENHOWER OR
;1 Uff,961MZIP i CA - 76o2a5 30000
BJ� 1 sP •"' 9J q 1 BLDG. INSPECTOR y FINAL DATE -
~. ARCIENG FIRM NAME LICNC # -
ADDRESS - 4 C `r ' _ • - , -
CITYICOMMUNITYISTATEIZIP
y, PLAN # P %AMI ER APP OVE DATE
>'4
r`tL.
K kip"-DWLG. iA A 1.�pi�j4$'$��p1W/R - (W�-1In`gd� L ••`tp
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011 BV
l71"d
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TOTAL
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LOT SZ _
END
fl $Ip[�
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COUNTER Bit -
COUNTER L.0 T - - -
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• t •ar�'Etic i "d'FOR' E;TREIC,TURAi.. PLAN REVZ•EW
,
1 2
tOT' -PERMIT 'COSS.T',
L M
0;5..�
tj'
Ctl�1F37�2�2Ci -C#� -ESTIMATE 4NOTE If ..No:•t�to be used as property
v��alurttion) - .
13 ,�ript on FCC ` (,trove iypp
;ac t
Rcpt . VaI'u,>tii in��
PAIMARY Dli4L. � 101 .. R--3 WD
a�"?�d
627.60 >h3 2
f SEF.DRY PRIGAR 13t f�• WOOD
&t
° 457
$9 10 ��►1�3
.Kan Rey 90 based on otal e.raated Val
to of
$67600 is 1 $-..19, 05 -
rr '�4,' �•,w.. ,/.r.� :l� ^ ~4.
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FORM 284.208(1181) INSPECTOR ,t
, ..
,j ,
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs 8 Frms
34 Plenums 8 Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets 8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L. ❑
43 Final
10A
Fireplace T.O.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
' INSULATION Thick R"
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
trwa TI ! 02 14
S
..1830
CACO M.6 178 F WIP ^g {� 7► �p (�
I ErA RESSISPACE CALLA- ROSARITA
a �:.i' o td'�FirzIP CA 922530000'
V.0
TWN.
n4
1yu
S
N
��TT�$t%�► `T�0 �gY SB
1:, TRACT NAME
ryg.��1t��••(�LLp np y�}yy y� d' 'thy
OWp1ER. Ili W .1. [ Il4 ? JOINT. b N 1 V- i'4
.... FFJ11�8�lQ�
iPHONE p
T ' .11CO
,.9 8 ���1�gff��QQS�, g p •y� y� �y A'
S. f,Pj l�i:iW,FI�isri i"Oi�YY! d. Willi -
/
LICNOti !
#?Pp t EISENHOWER DR .
4
C�TA, COC7W1.69�TI AIZIP .. CA :,Y,22530000
A:V61�NEfl(w1t jl ,,,� < 7d_tlt.
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
•j
LICNC q
i.
COUNTER L.U.T.
ADDRESS
CITYICOMMUNITYISTATE/ZIP .
,
:PLAN q:. -
PLANS EXAMINER -
APPROVE DATE
�iWL.0 Aid' BAR
.U� ��?N
FSB
ti $$g�
o Ci li .
SgQ�
0 tJ V
g$g�
Q V 1J
QF�q
$ t )
ZONE ORD M -'
LOT SZ .
END
�'N SdDV
0 I{j
trwa TI ! 02 14
S
Id 0
r
x
' 1
l
TOTAL .
FEE '
CA.
CKNC
-
COUNTER B.I.
COUNTER L.U.T.
APPLICATION -FOR STRUCTURAL PLAN REVIEW,
tau must,see.the following DeparTMent-il (i+ listed) for :r BEFORE
a pormiT can' be ' izeued i
Description "Do -t t.0; S66
HOL.,D—ROAD,:,HEALTH ILAP10 USK
}INSPECTOR
FORM 2B4 -208
0 1-811..
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.
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 (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents F
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