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00018116 Grading_KAMIT�PPLICATIDN County of Riverside Department of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North' D" Street 46209 Oasis St. Rm. 310 160 N. Broadway Riverside. CA 92501 Banning, CA 92220 Hemel. 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 Ph922.2670 This permit becomes void if work not commenced within 180 days from date of issuance. OR, it work has beer suspended or abandoned for a period of 180 days. ❑ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions Of Chapter 9 (commenc- pleted if the permit is for one hundred ($100) or less. I certify Ihai in the perlormance 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 is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensa- tion Laws of California. OWNER -BUILDER DECLARATION: I hereby allirm 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- strucl, alter, improve. demolish, or repair any structure, prior to its issuance. also requires the applicant lot 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).): ❑ 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 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. 11, 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.) ❑I, as owner Of the property, 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 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) 01 am exempt under Sec. BA P.C. (Attach Certificate). 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 lurnished. If ❑Certilied copy is filed with the County Building Inspection Department or County Department. -APPLICANT NAME (L, F, MI) ADDRESS 77270 GALLE CHIHUAHUA CITY/COMM UNITY/STATE/ZIP LA WUINTA CA 9225130000 JOB SITE ADDRESS/SPACE 77,270 CALLS GHIHOAHUA CITY/COM M U N ITY/STATE/ZI P LA QUINTA CA 922Z30000 BOK 773 I PAG 311 01 PRCtoo TWN RNG 000 SE 00 S TRACT 000000 MOD all SB CA TRACT NAME BCV LAO #17 BL.K 169 OWNER NAME (L,F,MI) HORN, DAN PHONE p CONTRACTOR -FIRM NAME LICNC N ADDRESS CITYICOM MUN ITYISTATEIZIP PHONE N BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC p ADDRESS CITYICOMMUN ITYISTATE/ZIP PLAN =P- `MINER APPROVE DATE USE OF PERMIT GRA ING PLAN CHECK BILZON 00R1 FSB 1020100!5 SSB SSB aa5 RSB 010 OFC IND ZONE ORD p LOT SZ END a0,15a SIDE nlaa uaie _ Applicant NOTICE TO APPLICANT: II, after making this Cerlilicate of Exemption. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith 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 feel 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, scalfolding, lalsework. Or demolition or dismantling thereol. will be more than thirty-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 work which would require a permit Irom the Division of In- dustrial Safety. as noted above, unless such person has a permit to do such work from the division. ❑Division of Industrial Safety Permit No. CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the perfor- mance of the work for which this permit is issued (Sec. 3097. Civ. C.). Lender's Name Lender's Address CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cerlily I have read this application and stale that the information given is correct. I agree to comply with all slate laws and county ordinances refacing to building construction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon the properly for which I have applied for this permit lot the purpose Of making inspections. X ; , y�i9 a re: pl2aht bwAg'Oi- Date Print Applicant/Agent Name APPLIPRMT p PS DATE 34732 00018116 CG 0;/11/82 GRADING PLAN REVIEW FEE $15.00 TOTAL . FEE CA CK X NC COUNTER B.I. COUNTER L.U.T. PERMIT FOR GRADING PLAN REVIEW TOTAL PERMIT f 11ST IS $15.00 # of LoTs t 0 Cu 'x:09-••Cv•t : 0 Fill i 433 To t� l Moved t 433 Grading Plan Review Fee (based an cubtc vd% Cut and Filled) l.st #15.00 INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 6 Frms 34 Plenums 6 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 (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 APPLICANT NAME (L. F, MI) ADDRESS 77270- CAL.LE CHIHUAHUA CITY/COMMUNITY/STATE/ZIP ' LA, QUINTA CA 9>22530000 JOB SITE ADDRESS/SPACE 77270 GAL.L.E CHIHUAHUA CITY/COM MU NITYISTATE/ZIP LA .QUINTA CA 922 530000 BOK 773 PAGPRC 311 012 C 1 TWN RNG 0€ 0 SE 00 S TRACTLOT 000000 001 MOD 0l� SB TRACT NAME SCV LAD 017 BLK 169 OWNER NAME (L,MI) HORN, VAN PHONE # CONTRACTOR -FIRM NAME LICNC # ADDRESS CITY/COMMUNITY/STATE2IP PHONE # BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # ADDRESS CITY/COMMUNITY/STATE/ZIP L , PLAN #PLANS EXAMINER APPROVE GATE USE OF PERMIT GRADING PIAN CHECK BLZON ('00 R a FSB 020 SSB f)f1 SSB 005 RSB Q! 0 OFC 1ND9 ZONEORD# LOT SZEND 0 00 SIDE 0IID 0 0nUP�QR'MTpq� q vPS y D /8TE :a 34730 A7 /10 TOTAL . FEE CA CK INC. I COUNTER B.I. COUNTER L.U.T. )R GRADING PLAN REVIEW ' P.L, I C A T 1 G N 0 N L Y NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 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 IDA Fireplace T. 0. OP'N NO. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick -R- Value 7A Walls (Botts) 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 P/L P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire .29B Bonding 30 r Fixtures 31 Service 32 Final STREET NAME: e f(flM1 AMIYWt I) , 9DVrESV�o CHIHUAf� IJA �y�g�gyG��ALLE y t� t� �9 {� 'CITY, dCOMNllNf iV ! YY ZIP CA 7 2 f: 5 W V 0 0 V 922530000 'CE�1 RESSISPACE CALLS CHIHUAHUA ppb . Y:TYCOYNG/'!4 f T'Yj/ZIP CSW 922530000 R�pgQ r q 1nn d ppg r� N 8. Ai q� A' N W Ono ry N� �e V ,q V E1 S ��IppgqP��'�iyds� k V V�W4V{iV y 8 � M p g VOA d SB ' «4�,V A IE AD 417 BLK 169 PHONE # ,CONTRACTOR. FIRM NAME LICNC # . ADDRESS CITYICOMMUNITYISTATEIZI P °'PHONE # i BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC # ADDRESS CITYICOMMUNITYISTATE/ZIP PLAN #,•ryy ^S. PLANS EXAMINER APPROVE DATE YJR'N&kWC 'jfLAN CHECK ip� � a0 p y,� ,.. ,R 7LN F 3 q� �Qp� Ni'»V loos oos t' li�� s� �Gp� V�1�V Q� ��dl ZONE ORD # r Y LOT SZ V pE Ns1D0 Q 1.DD 1I 2577T Irt APPLICATION FOR GRADING PERMIT f T t9 J S Y S A N A P P, L 1 CAT 1 0 N C N L `1f FORM 284208(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 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. 0 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 PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS t ? }P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final 1 STREET NAME