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00027584 (AR)APbC, NT AAfty/. ALLEN 1 ADM 807 CITtAMIMU/1 CA Y2?.53,0000 JOE SISPACE AVE VELASCO ZWOUTRIPA TOTAL ;FEE ' y7. 8097fAG1 R C TWN COUt� ER.B.I. E TRA(YU $ SB �gLOT TR ,�i3 W/VE LAQ 95 p �q( yg,MO 1i. LUC 5.4 a Owf&1t1F.NF,MI)MARCIA JANEPHONE # CONTRACTOR -FIRM NAME LICNC N ADDRESS CITY/COMM UNITYISTATEIZIP PHONE# BLDG.INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC N ADDRESS CITY/COMMON ITYISTATE/ZIP PLAN# P EX I ER APjP"ROVE D�ATT p / F_ J6' a US MI BL - F 1 I OF11 NT ZONE ORD# LOT SZ C APP{ii6 i? 2 584 PC A t/ b 5/82 � 5 5 jcQ,0 ETri „D PEAR REV TOTAL ;FEE ' y7. CA CK NC COUt� ER.B.I. COUNTER L.U.T. PERMIT FOR STRUCTURAL PIAN REVIEW TOTAL PERMIT COST IS $95.22 � Nature of Situs Comment Action Taken Case Use No EXISTING KITCHEN TO BE REMOVED BEFORE: FINAL CONSTRUCTION ESTIMATE (NOTE:: Not to be used as property valuation) Description FCC Group Typ a Sq Ft Rate Valuation PRIMARY DWLG 101 R-3 V -W 700 $27.60 *19320 9CCNDRY PATIO :529 M V -N 140 $4.90 $686 Est Plan Rev Fee bawd on Total. Est*mated Val/tn of $20006 161 $95.22 ,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 8 Firms 34 Plenums 8 Ducts t 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 11 Appl. Clearance 7 Framing 40 Fire Damper B Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P.L. ❑ 43 Final IOA Fireplace T. 0. FIN ADDITIONAL INFORMATION 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 PERMIT APPLICATION County of Riverside Department of Buil,' and Safety 4080 Union St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Slreel 227 North " O ' Slreel 46.209 Oasis St. Rm. 310 160 N. Broadway Riverside. CA 92501 Banning. CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 187.6146 Ph. 849.7312 Ph, 658.4464 Ph 657.3898 Ph 342.8271 Ph' 922.2670 This permit becomes void it work not commenced within 180 days from date of issuance. OR. 41 it work has been suspended or abandoned for a period of 180 days ❑/ LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 ( co menc- Ing with Section 7000) of Division 3 of [he Business and Professions Code, and my license is in full force and effect. g ❑ OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the fallowing 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 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 - mil 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 properly 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. It, 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 [hereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- Iraclor's License Law.) 01 am exempt under Sec. BA P.C. (Attach Certificate). Date Owner 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 tiled with the County Building Inspection Department or County Department. ` CERTIFICATE OF EXEMPTION FRCM 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: If, 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: ❑I 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. falsework. or demolition.or dismantling thereof. will be more than Ihirly-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 from the Division of In- dustrial Safely, as noted above, unless such person has a permit to do such work from the division. ❑ Division of Industrial Salely 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 3ermil is issued (Sec. 3097. Civ. C.). Lender's Name Lender's Address CERTIFICATE OF COMPLIANCE AND AUTHORIZ ON OF ENTRY: I certify I have read this application and state that the information given is �l o comply with all state laws and county ordinances relating to building ntruclion, an y norize a r presentative of the Copn'ty of Riverside. Departure )tof Buildin and Safety to enter p n the proper ,dor which have appli I r �s ermit for the purpose of king insp ligns'' Signature of Applicant or/Agent Date APPLICANT NAME (L, F, MI) W, 9TANLEY `ALLEN TUR to 7 CI 1 M , T'. IP ,++,,c CA 922530000 J!'Bs�(T9i1g7yyS�SISfPAC�E{ 'F''�-G:. 'V VELASCO AVE �•1 P! CIICTlO11Tqub;1g{�L !AAP lNA 9,422. 0 0 0 0 '1.7 7 PAt�133 12 O C7, {3 'WqN N�n1,t i o SVC' S �y� TR�C�b 06-a0 L068&9 p 1 8 u l SB' T��VMEL.AQ 05, BLOCK 52 OVI�L,'F,MI�+AR C A�� PHONE p CONTRACTOR. FIRM NAME LICNC # ADDRESS CITYICOMMUNITYISTATE/ZIP PHONE# BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME - _. - LICNC # ADDRESS ` CITY/COMMUNITYISTATEIZIP PLAN#4 t`.f - r PIANS EXAMINER. APPROVE DATE US IDURM`y ITCMi:.1`+lJ'2""BDRMS/BATH TO DUL G EIV - ZONE ORD # *. LOT SZOE `yam -1101 O ,tt O APPLIPRMT #PS a 0 Q2?5b4 I XBI DATE 11 4151s2.. 5 56 6 2 . it i l `yam Yv� 1, TOTAL . FEE CA CK I NC I COUNTER S.I. - COUNTER L.U.T. ` I b b V b Z i APPLICATION FOR STRUCTURAL PLAN IE:VI£:W I S A N A P P L. I C A T 1 0 N 0 N L Y Nature of Situs Comment - Acl ivIn Taken Casae Use No rw, `.I�F:X�-STXNG KITCHEN TO K _ REMOVED BEFORE FINAL. `,., 1 Jt • ., � �� _ � I' .• .� a .'` u 'FORM 184.208 (11.81) INSPECTOR t . it i 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 10A Fireplace T. 0. NON 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 ELECTRICAL APPROVALS PSL P/ 26 Power Pole 27 Conduit X28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final t J 1 KCC I IVAMC