00024488 (PAT)APPLICANT A E (L, F, MI)
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TRACT NAME
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PHONE N
,CONTRACTOR -FIRM NAME
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.ADDRESS
CITYICOMMUNITYISTATEIZIP
PHONEB
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC N
ADDRESS
CITYICOM MUN ITYISTATEIZIP
PLAN!
PLANS EXAMINER
APPROVE DATE
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Situis Comment
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Action Taken ----------
END
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I' FORM 284;208(ii-81)' INSPECTOR. .„ ,
TOTAL .
1
FEE
CA CK NC I COUNTER B.I.
COUNTER'L.U.T.
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APPLICATION FOR
s,rRUCTURAL. PEF3MXT
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.1 9 A
N A P
P t.. I C A T 1 O N
0 N L Y
Nature of
Situis Comment
Action Taken ----------
:ase Use No _..�._..
TRACT MU3'T
RECORD
BEFORE
PERMIT
CAN BE ISSUED
CU --2475
I' FORM 284;208(ii-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 & 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
10A
Fireplace T.O. []
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
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
zs
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 Fixtures
31 Service
32 Final
PERMIT APPLICATION
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 "0" Street 46209 Oasis Sr Rm. 310 160 N. Broadway
Riverside. CA 92501 Banning. CA 92220 Hemet. CA 92343
Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225
' Ph: 787-6146 Ph'. 849-7312 Ph'. 658.4464
PR 657.3B98 Ph. 342.6271 Ph- 922.2670
This permit becomes void it work not commenced within 180 days from dale of issuance. OR. if work has beer suspended
or abandoned for a period of 180 days.
Tdja
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 (comment-
pleted it the permit is for one hundred ($100) or less. I certify that in The performance of the work for which this
permit issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
tion Laws of California.
Q
Date _ Applicant
NOTICE TO APPLICANT: If, alter makingthis Certificate of Exemption, you should become subject to the Workers'
OWNER -BUILDER DECLARATION: I hereby affirm That I am exempt from the Contractor'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
CITYICOM M U N ITYISTATEIZI P
permit to file a signed statement Thal he is licensed pursuant to the provisions of the Contractor's License Law
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
❑I hereby certify that no excavation five (5) dr more feel in depth into which person is required to descend, will
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
in connection with work authorized by This permit. and that n lalsew
building structure. scall2.
madedemolition
mil subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).):
or ArI. 41.
' or demolition or dismantling thereof. will be more than thirty-six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
feet
❑ 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 -
Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or
dustrial Safely. as noted above. unless such person has a permit to do such work from the division.
through his Own employees, provided that such improvements are not intended or altered for sale. II. however.
❑ Division of Industrial Safety Permit No.
The building or improvement is sold within one year of completion, the owner -builder will have the burden of p(ov-
Ing that he did not build or improve for the purpose of sale.)
NQ
❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor-
7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who
mance of The work for which this permit is issued (Sec. 3097. Civ. C.).
builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con-
Lender's Name
tractor's License Law.)
Lender's Address
01 am exempt under Sec. . BA P.C. (Attach Certificate).
Date Owner
IWORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a
certificate of Workers' Compensation Insurance, or a cerlilied copy thereof (Sec. 3800, Lab. C.).
I❑Certified copy is hereby furnished.
❑Certilied copy is liked with the County Building Inspection Department or County Department.
41." ,fJ_T /1 RtLyyF,'MIT LAND CO
40415
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AGorAefsl yTmP CA 922530000
JQIj.sSIjF I�DRESS/SPACE AVE CLUB LA QUIN
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TRACT NAME
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LICNC N
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CITYICOM M U N ITYISTATEIZI P
PHONE N
B . INSP CTOR
FINAL DAT `
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ARCIENG FIRM NAME LICNC #
ADDRESS
CITYICOMMUNITYISTATEIZI P
PLAN It
PLANS EXAMINER
APPROVE DATE
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CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate
that the information given is correct. I agree to comply with all stale laws and county ordinances relalm to
building construction, and authorize a representative of the County of Riverside. Department of Building and Safety
to enter upon the property for which I have applied for this permit for the purpose of making inspections.
X
Signature of Applicant or Agent Date
Applicant/Agent Name
UUTPV4480 Fi: 09/0!"'Ei2
CONSTRUCTION FEE
40415
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PL/CH & ADI
$16.15
SPI FEE
$0.10
TOTAL .
FEE
$41.25
CA
ICI(�
11
NC
COUNTER B.I.
!
COUNTER L.U.T.
S T R U C T U R A L ( BUILDING ) P E R M T
TOTAL. PERMIT COST IS $41.25
tllifl��
Nature of Situs Comment --------- Action Talon Casa Use No
TRACT MUST RECORD BEFORE PERMIT CAN BE ISSUED CU -2475
CONSTRUCTION ESTIMATE (NOTCi Not to be used as property valuation)
Description FCC group Typ e Sq Ft Rate Valuation
PRIMARY PATIO 329 M V_ 286 $4,90 $1401
Construction Peet based on Total, Actual. Valuation of $1401 is% $25.00
SMI FEE
PL/CN & ADJ
FORM 284208 01.81) INSPECTOR
so, 10
$16.15
9
NO.
OPERATION DATE
INSPECTOR
NO. OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
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 6Ubrns _
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
10A
Fireplace T. 0.
P' ADDITIONAL INFORMATION
'hr7J (�-
b z y.Ci IFOOF/'
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick Value2X
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final J 9-82
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
P/L 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