Loading...
00015993 (MISC)APPLICANT NAME (L, F, MI) - - MANDIZ CONSTRUCTION ADDRESS 144505 SAN CARLOS CITY1COMM PALM U'D'i'.4.71'€f,IPt Sdf'7 ����►,�7� W t1 V 'J B SITE ADORESSISPACE AVE MARTINEZ f.w F`IU3 TJ ds l..,`-1- ppqq4��{�:y3 yR CITYICOMMUNITY/SYTEIZIP A;CA 092253000 BOKl 1 PAG' qq 253 PSR" C�4 y P2;2 @@��C V Tp�W,Ny 006<3U06E �j (`'' (R�NLGG - SSE_ 1, tS� 0 TRACTLOT 0000,00 `II 00.1.1 SB CA TRACT NAME ACV L.AU 0217 BL,EKm30 0 , L»OTS 11 12 OWNER NAME (L F MI) ullIZ, MR & v1 s.: PHONE p • CONTRACTOR -FIRM NAME LICNC p .ADDRESS ;CITYICOMMUNITY/STATEIZIP ' P�HONE,# ,. BLDG. INSPECTOR FINAL DATE j, RCIE, N_„G'FFd �NVM D50N ASSOCIATES LIM±S%46 ADDRESS ' 34, 9L P.ASEri CITY/COMMUNITY/STATE/ZIP 1)ALM DESERT CA 92oa600000 PIAN p .' - PLANS EXAMINER APPROVE DATE USE OF PERMIT GRADING -FILL 110R e .Lt• b Y � ... ZON 1 FSB �0y ��pp SSb iggi1��y o ub P �y 0 0 0 n�y�. gF�� AO ZONE ORD p LOT SZ ` END 6D 0001Tp77.J X81 04�06DA2 Ek�Y G�� 2.6442 I TOTAL . FEE CA CK NC I COUNTER B.I. COUNTER L.U.T. .. ' �.: A'.i?L IA �3P! �"p 'GRADINGLA4� REVIEW ti •I. H 1. 8 pie S A N A P f L,4 1J W1 1 1 0 iN N 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 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 Fireplocd-' "P.L. ❑ 43 Final IDA Fireplace T. 0. 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 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 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 GRADING FEES GRADING PERMIT FEE: 110 CY'S % X � �� Amount Reg or'dbl fee) LANDSCAPE FEE:. PLAN CHECK PERMIT MICROFILM FEE: PLAN REPORTS ETC: ADDITIONAL -_,FEES: r; TOTAL BY: I T OF BUILDING & SAFETY 7ITY OF RIVERSIDE ). ELECTRICAL FEES NO. PLUMBING FEES UNITS MOBILEHOME SVC. POWER OUTLET SIGN TEMP USE PERMIT SVC POLE, TEM/PERM AMPERES SERV ENT SO. FT ®a. SO. FT. ®a SO.FT.RESID @11/41 SO.FT.GAR ® Vvt. PERMIT FEE K. FEE CONST. FEE ELECT. FEE 1 YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASH ER(AUTO)(DISH) GARBAGE DISPOSAL LAUNDRYTRAY . KITCHEN SINK WATER CLOSET LAVATORY SHOWER BATH TUB WATER HEATER SEWAGE DISPOSAL HOUSE SEWER GAS PIPING PERMIT FEE SMI FEE PLUMB. FEE 0 LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter (commenc- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 0 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 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 five hunderd dollars ($500).): ❑ I, as owner of the property, 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 himsell or through his own employees, provided that such improvements are not intended or offered for sale. Il, however. the building or improvement is sold within one year of completion, the owner-builde( will have the burden of prov- ing that he did not build or improve for the purpose of sale.) Of. 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 properly 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. B.& P.C. (Attach Certificate). Date Owner - 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 furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) MANDIC,: CONSTRUCTION 4AD4`�5bb) SAN CARL.OS PERMIT APPLICATION O SI,rTE:Q4RESSISPACE AVE MARTINEZ LA°t��°��}}�1' iAIZIP CA 092253000 '! T4 County of Riverside OF5P. S,7 UIfb6003NAE Department of Building and Safety 4080 Lemon St. 2nd Floor 135 N. A[,-a2ndro Rd. �m. 203 880 N. Slate Street: ` 227 North -D- Street 46.209 Oasis St. Rm. 310 160 N. Broadway Riverside. CA 92501 Banning,.LA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 787.6146 Ph: 849.7312 Ph: 6584464 Ph: 657.3898 Ph: 342.8271 Ph: 9222670 This permit becomes void it work not commenced within 180 days from date of issuance. OR, it work has beer suspended or abandoned for a period of 180 days. ADDRESS 0 LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter (commenc- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 0 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 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 five hunderd dollars ($500).): ❑ I, as owner of the property, 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 himsell or through his own employees, provided that such improvements are not intended or offered for sale. Il, however. the building or improvement is sold within one year of completion, the owner-builde( will have the burden of prov- ing that he did not build or improve for the purpose of sale.) Of. 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 properly 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. B.& P.C. (Attach Certificate). Date Owner - 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 furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) MANDIC,: CONSTRUCTION 4AD4`�5bb) SAN CARL.OS WP T CA 922600000 O SI,rTE:Q4RESSISPACE AVE MARTINEZ LA°t��°��}}�1' iAIZIP CA 092253000 '! T4 L'�a.i OF5P. S,7 UIfb6003NAE IE 6 MC 000 �°b i � .S t°f i SB CA tCfVA XAG *27 BLK--300,LOTS 11 & 12 �yyyE.O /_ ;E (L„�tj) Mit S ,�'] PHONE p CONTRACTOR -FIRM NAME LICNC N ADDRESS C I TY I CO M M U N I TY I STAT E I Z I P PHONE # BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME . LICN�.I n "1 T7 ADDRESS CITYICOMMUNITYISTATEIZIP 000000000 PLAN If PLANS EJAMINER APPROVE DATE 00A Nfar'"'FIL.L. 1100 13L I if R VN FSB 0 Ui� Q+ 0 Vi/ i1 v „ Vb Qy�j LFI` ZON LOT SZ END 0 n BC16 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- pleted if the permit is for one hundred ($100) or less. 1 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 I: IL after makinglhis 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: Of hereby certify that no excavation five (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 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 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 Safety 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 cerlily I have read this application and state that the information given is correct. I agree,o comply with all state laws and county ordinances relating to building construction, and authorize a representative of the County of Riverside, Department of B jlding and Safety to enter upon the pro Ny I I If.cIf I have" lied for this permit for the purpose of maki ,inspections. Sigdafure of Applicant or Agent �r Date Print Applicant/Agent Name AP0 0 1 M G DATE 6 4 4 3 QOOI rr93 CG Q4/0�3/tC GRADING PLAN REVIEW FEC ��Ci a Ctu THEE` CA CKf NC COUNTER � COUNTER L.U.T. — �. _ _ _ —..r --—..-•. --•caw---�----•,—..— _..._�...�-.�,r— —M.� .,. — ..-- -_ _... ^— -- �� . — _ " — PERMIT FOR GRADING PLAN REVIEW TOTAL. PERMIT COST IS $20.00 4 of L.©tt3 z 0 CU YDS -Cut t 0 Fall. t 1100 Total. Moved: 1100 Grading Plan Review Fee (basest on cubic yds Cut and Filled) is; $20,00 FORM 284.208(11.81) INSPECTOR 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 " ' _ . ' !'. L. 0 43 Final 10A Fireplace T. 0. 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 k PLUMBING APPROVALS 15 Ground Plumb 116 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 298 Bonding 30 Fixtures • 31 Service 32 Final STREET NAME LICENSED CONTRACTORS DECLARATION: I 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 OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law lot 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 for 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 penally of not more than five hunderd dollars ($500).): ❑ I, as owner of the property, 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 lot sale. If, 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.) of, 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 properly who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Con- tractor's License Law.) ❑I am exempt under Sec. , B.& P.C. (Attach Certificate). WORKERS' COMPENSATION DECLARATION: I hereby allirm 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 furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) MANDIZ CONSTRUCTION PERMIY APPLICATION CITYICOM MUNITY/STATEIZI P PALM DESERT CA 92260 0 0 0 0 JOB SITE ADDRESS/SPACE 54485 AVE MARTINEZ LCITcDWiJIi+I AnP CA 09225:3000 County of Riverside Department of Building and Safety PAG 253 4080 Lemon St. 2nd Floor Riverside. CA 92501 Ph: 787-6146 135 N. Alrssandro Rd. Rm. 203 Banning"I0 A 922 Ph: 849-7312 880 N. State Stre(a 227 North '-0" Street Hemel. CA 92343 Perris. CA 92370 Ph: 658.4464 Ph: 657.3898 46.209 Oasis SI. Rm. 310 160 N. Broadway Indio, CA 92201 Blythe. CA 92225 Ph: 342.8271 Ph: 922.2670 This permit becomes void it work not commenced within 180 days from date of issuance. OR, if work has beer suspended or abandoned lot a period of 180 days. SE 13 LICENSED CONTRACTORS DECLARATION: I 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 OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law lot 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 for 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 penally of not more than five hunderd dollars ($500).): ❑ I, as owner of the property, 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 lot sale. If, 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.) of, 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 properly who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Con- tractor's License Law.) ❑I am exempt under Sec. , B.& P.C. (Attach Certificate). WORKERS' COMPENSATION DECLARATION: I hereby allirm 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 furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) MANDIZ CONSTRUCTION ADDRESS 445051 SAN CARLOS CITYICOM MUNITY/STATEIZI P PALM DESERT CA 92260 0 0 0 0 JOB SITE ADDRESS/SPACE 54485 AVE MARTINEZ LCITcDWiJIi+I AnP CA 09225:3000 BOK 774 PAG 253 PRC 022 C 8 TWN 0066006E RING SE 13 S 0 TRACT LOTMOO 000000 0011 0l1 SB TRACT NAME SCV LAQ 427 BLK-3001L.OTS I1 & 12 CR T 2 , (L k) & MRSOWNERNAME PHONE p CONTRACTOR -FIRM NAME LICNC p ADDRESS CITY/COM MUNITY/STATEIZI P PHONEIT BLDG. INSPECTOR FINAL GATE npf cl�(lGPbi'01,i/�.0N ASSOCIATES ITPb L( !P 741:3 E L. P ASEO CITY/COM MUN ITYISTATEIZIP PALM DESERT CA 922600000 PLAN It I PLANS EXAMINER APPROVE DATE USE OF PERMIT GRADING --F ILL 1 100 BL 00 ZON R1 iSSB O B E R SB 00 O IFA D ZONE ORD4 Oi3 T SZ END SIDE 0000 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 APPLICANT: If, alter 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: Of 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 thirty-six (36) [eel high. (Chap. 3.2. Grp 2, Art 2. Sec 341, Title 8, C.A.C.). E) As 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 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 certify I have read This application and state that the information given is correct. I agree to comply with all slate 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 Print Applicant/Agent Name Date AP/P�UPRMT 1 p QQ0 f.s�,l/73 l�� G �y 0 �yDATt8 26442 6 4 4 2 0"T/{74D/t.7K�.r GJ jU, 4/+/1 TOTAL . FEE CA CK NC I COUNTER B.I. COUNTER L.U.T. APPLICATION FOR GRADING PLAN REVIEW T N 18 T S A N A P P L. I C A T x O N ASSESSOR / 0 N L Y i MANDIG-,CC1NSTR(JQTION c CA 922600000 S E•.(� DRESSISPACE AVE MAR'rI'4EZ EWICOWYNTexIZIP , CA U P d?J�YU.0 U .-CA `"i1 j BOK _n4 PAG 25;3 PRC' ()R2' C a TWN 006 O06E. R.G. SE 1-3 S 10. TRACT- y LOT lir 0000 Doll -MOD 1011 SB TRACT NAME ' Sint LAO 0 7 SLK-300,LOT a 11 IZ ' 61011. 1E(Lq�MyPili) & MRS PHONEN CONTRACTOR -FIRM NAME LICNC p ADDRESS CITYICOMMUNITYISTATE/ZIP - PHONEN .BL DG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LlC ,C p 4 46 ADDRESS - CITY/COMMUNITY/STATEIZIP '`00hf00;y 000000000 .PLANA PLANS EXAMINER APPROVE DATE . USE OF PERMIT .' fzltDING—FILL 1100 O U R Z N FSB .-... 0 I)sb Q ub pastil . NP ZONE ORD p LOT SZ 'END SIDE APPUPRMTpAPS04/26YBL a a a h �45►�i c 1 �267IDATEO A TOTAL . FEE CA CK . NC. COUNTER B.I. COUNTER L.U.T. 1 k 1 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. 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) 128 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 P) 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 County of Riverside Department oI Building and Safety 4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "D" Street 46.209 Oasis St. Rim. 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: 8494312 Ph: 658.4464 Ph: 657-3898 Ph: 342.8271 Ph: 922.2670 ' This permit becomes void it work not commenced within 180 days from dale 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 (comment- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work lot which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers- Compensa-. lion Laws of California. ❑ Date Applicant OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the NOTICE TO APPLICANT: IL alter makingthis 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 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 lot 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: (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- Of hereby certify That no excavation live (5) or more feel in depth into which a person is required to descend. will mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): be made in connection with work authorized by this permit. and that no building structure, scaffolding, falsework. - or demolition or dismantling Ihereol. will be more than thirty-six (36) feel 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 - 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. If. however, dustrial Safety. as noted above, unless such person has a permit to do such work from the division. the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- []Division of Industrial Safety Permit No. ing that he did not build or improve for the purpose of sale.) ❑l; 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- mance of the work for which this permit is issued (Sec. 3097. Civ. C.). 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 contracts for such projects with a contractor(s) licensed pursuant to the Con- Lender's Name tractor's License Law.) Lender's Address ❑I am exempt under Sec. . B.8 P.C. (Attach Certificate). Date Owner 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 slate laws and county ordinances relating to building construction, and authorize a representative of the County of Riverside. Department of Building and Safety WORKERS' COMPENSATION DECLARATION: I hereby allirm 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.). to enter upon the,properrJly for whit` t have applied for this permit lot thepurpose f ma np inspections ❑Certified copy is hereby furnished. ❑Certified copy is tiled with the County Building Inspection Department or County Department. ggq3lure of Applicant or Agent %' Date Si .! Print Applicant/AgenName ( I � DATE T 7i ih4 L 8PAAAAS 26703 7O3 44ZO5 SAN CARLOS GRADING PERMIT FEE $84.00 PDNDEA MESR CA 92 2600000 J��SwTEr� PR1yESSI7�SpPAnCE AVE MARTINEZ yL� ''C''ff0((��ffii dTM l ►fIZIP CA 072253000 BOK PAGPRC C TWIN RING SE S 774 -253 Rc2 t3 0068O06E 13 O 00anao 0011 011 Is, TRACT NAME sCV LAO #27 BLK-•300,LOTS 11 & 12 SIT z ME(LAV* M PHONE N CONTRACTOR -FIRM NAME LICNC N ADDRESS t� (17 MICROFILM FEE PO . 60 CITYICOMMUNITYISTATEIZIP PHONE NB . I PECcTOR L DATE -o/',X ARC/ENG FIRM NAME ucjga N� "f 46 �j M. ADDRESS CITYICOMMUNITYISTATEIZIP 000000000 PIAN N PLA XAMINER APPROVE DATE USE OF PERMIT GRADING—FILL 1100 - SPECIAL TNSP'TN F:E $30.00 BL N FSB gQ�7s p 1.110 R1 00 0 0 D TOTAL� *114.6 a ZONE ORD N LOT SZ END ijDEi V CA CIC, NC COU NIER ! COUNTER L.U.T. J� (�M G R A D I N G P E R M I T TOTAL PERMIT COST IS $114.60 d6 of Lots t O CU YDS -Cut i O Fills 1140 Total Moved i 1100 Cervification RCE is Certification Dates ELEVATIONS — Dawe i O. Grnd t 0 Finshd FIr s 0 Pad r U Grading Permit Fee (basset on cubic: yds Cut and Filled) isst $84.00 FORM 284.208(1181) INSPECTOR 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 Cevice 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"(8dtts) 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 P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 1 Final STREET NANE 7 ❑ LICENSED CONTRACTORS DECLARATION: I 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 lull force and effect. 1-1 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 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 five hunderd dollars ($500).): ❑ I, as owner of the property, 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. If, 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.) - Ell, 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 comraclor(s) licensed pursuant to the Con- tractor's License Law.) Of am exempt under Sec. B.& P.C. (Attach Cerlilicate). Date Owner WORKERS' COMPENSATION DECLARATION: 1 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 furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) MANDI CONSTRUCTION rcnmii ArrLIUR1Iun CITYICOM MUNITYISTATE/ZIP PALM DESERT GA 9222600000 B_4 AERESS/SPACE AV �- MAR_ INEZ CITYICOMMUNITY/STATEIZIP LA QUINTA CA a5,2253000 County of Riverside Department of Building and Safety PAI 25til 4080 Lemon St. 2nd Riverside. CA 92501 Floor 135 N. Alessandra Rd. Rm. 203 Banning. CA 92220 880 N. State Street 227 North "D*' Street Hemet. CA 92343 " Perris. CA 92370 46.209 Oasis St. Rm. 310 160 N. Broadway ' Indio. CA 92201 Blythe. CA 92225 Ph: 787.6146 Ph: 849-7312 Ph: 6584464 Ph: 657.3898 Ph: 342-8271 Ph: 9222670 This permit becomes void if work not commenced within 180 days from dale of issuance. OR. if work has beer suspended or abandoned for a perioo of 180 days. I SB ❑ LICENSED CONTRACTORS DECLARATION: I 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 lull force and effect. 1-1 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 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 five hunderd dollars ($500).): ❑ I, as owner of the property, 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. If, 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.) - Ell, 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 comraclor(s) licensed pursuant to the Con- tractor's License Law.) Of am exempt under Sec. B.& P.C. (Attach Cerlilicate). Date Owner WORKERS' COMPENSATION DECLARATION: 1 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 furnished. ❑Certified copy is filed with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) MANDI CONSTRUCTION AgDD{RyE�SS �}A 445 05 SAN C;ARLOS CITYICOM MUNITYISTATE/ZIP PALM DESERT GA 9222600000 B_4 AERESS/SPACE AV �- MAR_ INEZ CITYICOMMUNITY/STATEIZIP LA QUINTA CA a5,2253000 �BryOKK 74 PAI 25til PRC 02� �gI 67 T�ryWpN 0065 L rR`NGG 06E ySE^� d3 �S{ V TRACT LOTMOD 000000 OOZY 01 I I SB TRACT NAME SC:Vf27 BLK �-30 0, LUTS It f 12 �yrLAQ OWNEICR 4 R NAM,E (LMR) & MRS PHONE'q CONTRACTOR -FIRM NAME LICNC If ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE fl BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC d 33446 ADDRESS CITY/COMMUNITY/STATE/ZIP ''tt 000000{0hh 00 PLAN N PLANS EXAMINER APPROVE DATE USE OF PERMIT GRADING, --FILL 1100 BL Oil ZON R1 FSB SSB 000 SSB b0q RSB 000 OFC i7 ZONE ORD If LOT SZ END SSInIDE n tt V 1)IJ0 T i3 FORM 284-208 (11.81) ASSESSQR CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- pleted it 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 APPLICANT: It. after makingthis 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, falsework, 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.). ❑As 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 Safety 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 slate 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 Date Print Applicant/Agent Name APPUPRMTN PS DATE 00x15 911 G 041 0 20701 TOTAL . FEE CA, CK NC COUNTER B.I. COUNTER L.U.T. P9P!'{..rd4rA IUN FOR GRADING PERNIT 1 S A N A P P L I G A •T 1 0 N 0 N L `t