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00024485 (PAT)APPLICANT NAME )L, F, MI) LAHDMARK,-•LAND GO BeXs 10 0 0 000 GWOMMINZIP CA 922530000 JQyWtRESSISPACE AVECLUB LA ` QUIN HY (C�FAJ �.T�GDVi�RYINZIP 9�22'5'30 0 0 0 9 0 W'12 /n TWN VN� G i7l7 S T�TU� tto r1S/L Q / i7{6T1i 3 1a iJO SB $23.92 TRACT NAME M' AAMR, LAND CO PHONEN CONTRACTOR -FIRM NAME LICNC N ADDRESS CITYICO M M U N ITYISTATEIZI P PHONE N BINSP CTOR FINAL DATE /1-9- ARCIENG FIRM NAME LICNC N ADDRESS CITYICOM M UNITYISTATEIZIP PLAN N PLANS EXAMINER APPROVE DATE PEAyydTT COVER (TYPE D) t n �j 4 R7fN FSB 0 Vb Qy 0 11 h 01b Q �+y� .I &D 00.05 ZONE ORD N LOT SZ *9.37 END () 0 Wb , 0oo4�s r�x ov--[-4 CONSTRUCTION FEE1 Ww s 4 0 g 0 PL/CN 6 ADS' $9.37 SMI FEE $0.05 L_ t BUILDINGS y P E R M I T TOTAL PERMIT COST IS $23.92 CONSTRUCTION ESTIMATE (NOTEi Not to be used as prop*rty valuation) Description FCC Group Typ� a Sq Ft Rate Valuation $735 PRIMARY PATIO 329 M TOTAL . FEE $4,90 $23.92 CA I CIX NC I COUNTER B.I. COUNTER L.U.T. SMI FEE I FORM 284.208 (1 L81) INSPECTOR I 4U4 S T R U G T U R A L_ t BUILDINGS y P E R M I T TOTAL PERMIT COST IS $23.92 CONSTRUCTION ESTIMATE (NOTEi Not to be used as prop*rty valuation) Description FCC Group Typ� a Sq Ft Rate Valuation $735 PRIMARY PATIO 329 M V—�! 150 $4,90 Construction Fee based' on Total Actual Valuation of $735 isi $14.50 SMI FEE 00.05 PL/CN & ADJ *9.37 I FORM 284.208 (1 L81) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs 6 Frms 34 Plenums 8 Ducts r 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 r/— 9 _ 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. 0 OP'N ADDITIONAL INFORMATION NO. �%� r 1�ry 6� rV U l_T�/e�©� #�j G%�4 e `1 0 ,Ci SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath//J��9 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final l` ~ 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 P1 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME 4080 Lemon SL 2nd Floor Riverside. CA 92501 Ph' 787.6146 1st 135 N. Alessandro Rd. Am. 203 ' Banning. CA 92220 Ph: 849.7312 County of Riverside Department of Building and Safety 880 N. State Street 227 Norm "D" Street Hemel. CA 92343 Perris. CA 92370 Ph. 658.4464 Ph: 657.3898 ,i 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. 0 LICENSED CONTRACTORS DECLARATION: 1 hereby affirm 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 full force and effect. 11 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 Prolessions Code) or that he is ex- ,empl therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- }'ms��il subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): U 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 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 ollered for sale. 11. however. jthe 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 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 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) Of am exempt under Sec. B.& P.C. (Attach Certificate). 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. 46.209 Oasis St. Rm. 310 160 N. Broadway Indio. CA 92201 Blythe. CA 92225 Ph. 342.8271 Ph: 922.2670 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- pleted if 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 manner so as to become subject to the Workers' Compensa- tion Laws of California. Date __ Applicant NOTICE TO APPLICAN f: It, after making this Certificate 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 feet 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, scaffolding. Ialsework. or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2, Art 2. Sec 341. Title 8. C.A.C. ). OAS owner -builder. I will not employ anyone to do work which would require a permit from 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 Safely Permit No. CONSTRUCTION LENDING AGENCY: I hereby affirm 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 certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating 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 Dale Print Applicant/Agent Name _ QATF APPLICANT NAME (L, F, MI) LANDMARK o LAND CO I oo o U ��3Ti•(�R, �+� /� 922%30000 ry q p� �y :4�+i1-{t�6Jlll�lT IAZIP CA �7t2.2{a%3 V a n V . Q@,§F{xE1QQRESSISIPA�CjE C .q D LA QVIyet AVE07 P bi.4,�CiA 10000 922aJ3. �I KO�v111((�ST�AZIP �b �7 i 4T I a UC11 2 / TWN Id fa Vo S NAi 6 86 VTo A ti VO.i J. SB TRACT NAME �l�.�j ���f11 COf.. Miri�HAVAi1 ➢ LAND CO PHONE# CONTRACTOR -FIRM NAME t LICNC # ADDRESS CITYICOMMUNITY/STATEIZIP " PHONE# BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC # ADDRESS CITYICOM MUNITY/STATEIZI P !I r PLAN # PLANS EXAMINER APPROVE DATE 1 USE OF PERMIT COVER'(TYPE Dn>��gg(� %B�;A���'IO U o i� A N FSB piGg�i !Y V V lo N Rl �j QU:7 pp �q "FCL/ ZONEORD# LOT SZ END�S•(,D APPLICATION FOR STRUCTMAI_ PERMIT 'T•HIS IS AN A P P L I C A T 1 0 N 0NL.Y r `INSPECTOR FORM 2842 (11.81) NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 6 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. E] 43 Final 10A Fireplace T.O. No 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 (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 PSL P) ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wiie 29B Bonding 30 Fixtures 31 Service 32 Final VIE