Loading...
00007377 (PLBG)rommii nrruUnnun County of Riverside NpIrtmel'-of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State°Street-' 227 North "D" Street 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: 787-6146 Ph: 849.7312 Ph: 65B-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, '1 work has been suspended or abandoned for a period of 180 days. c LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commering CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be comple-d if the with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effe-t. permit is for one hundred ($100) or less. I certify that in the performance of the work for which this permili's .ssued. I EO �J shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of C: lifornia. License Class Lic. Number 'y Date Applicant Date Contractor NOTICE TO APPLICANT: IL after making this Certificate of Exemption, you should become subject to the Workers' -BUILDER DECLARATION: I hereby affirm that 1 am exempt from the Contractor's License Law tot the lollo=ling Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be _.OWNER o reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct. ester, deemed revoked. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to 19e a DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commerring ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descent., will be -with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the bast for made in connection with work authorized by this permit, and that no building structure, scaffolding, lalsevork, or, the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a :ivil demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2. Art 2, Sec 341 Title B. ' penalty of not more than five hundred dollars ($500).): C.A.C.) ' 1, as owner of the property, or my employees with wages as (heir sole compensation, will do the work, ant the ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License -aw a ery, as noted above, unless such person has a permit to do such work from that division. does not apply to an owner of property who builds or improves thereon, and who does such work himself or thrcugh Division of Industrial Safety Permit No. i his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Date Applicant - improvement is sold within one year of completion, the owner -builder will have the burden of proving that he dic not ' build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perforr.ance of n the work for which this permit is issued (Sec. 3097, Civ. C.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec7144, Lender's Name Business' and Professions Code: The Contractor's License Law does not apply to an owner of properly who built or ZONE ORD If improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contrac-ors Lender's Address License Law.). I certify that I have read this application and state that the above information is correct. I agree to comply with all 5� I am exempt under Sec. . B. & P.C. (Attach Certiliate). city and county ordinances and state laws relating to. building construction, and hereby authorize represent3ives of this county to enter upon the above-mentioned property for inspection purposes. Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, r a Signature of Applicant or Agent Date certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.). CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and stale :hat the information given is correct. I agree to comply with all state laws and county ordinances relating to build ng con - Policy No. Company struction. and authorize a representative of the County of Riverside. Department of Building and Safety to enar upon Certified copy is hereby furnished. the property for which I have applied for this permit for the purpose of making inspections. Certified copy is filed with'lhe County Building Inspection Department or County Department. °t Signature of Applicant or Agent e Date ! 1� Applicant t, i -a/-- ?G.. Print Applicant/Agent Name —-xxrr7�'- "-----�'�l'µ----+_per-.[t Ani... ILO � Wl'�a.A�Yi4f C' - AWyr14i�bY CIrf5ty1�Lg4fTY/STATE/ZIP q4 201 0 0 0 o J(i9 �1T{p L�O��[JWJ ESS/SPACE TN _Y ya�1(,�,, PlAlL .tf� DR SINGING Ik ii .l �'S C:I d�f`ICA ,C YW/,�Ot77-tT!'167.y7�ZIP li 4s 912`2530000 TP#FO;* BLQ-.11 P151 j' TWN ION V EO �J S Tti{rp04 Cd02M I SB 1 A TRACT NAME OWN 1 JtAi r�1W SF. MI) A CONTRACTOR -FIRM NAME ADDRESS C I TI!COMM U N ITY/STATE/Z I P PHONE N ` LICNC p ARC/ENG FIRM NAME ' ADDRESS CITY/COMMUNITY/STATE/ZIP r PHONE N LICNC 4 .1 UCAFdERJT1p1Nt; To DWLG B�1 U " FSB ' re n wo ° N ZONE ORD If LOT SZ END eft 0 "PZi�ia �� _.►p to - _-0 no- 710 . V pp��' �y M yy����+yr Fee PLUMOIi`G !`f.e ` 6•ra714 / TOTAL . ;1 v FEE INSPECTOR'S COPY 00871© :--TOTAL* PERMIT,COST JS $6.50 PLUMBIPG FEE OMPUTA TIONS ar # afi Permi t s s 4 at $ .00 Each FEE $2,081 GAS %PING YSTEN-� I to * pe�'t otsil1 6 ar, Mare OwtIsToi 0 FEE$ l+,Z 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 Go,oge Fire Wall 42 Commercial Hood 10 Fireplace P. L. Ej 43 Final 10A Fireplace T. 0. Ej NO . �.._.. ADDITIONAL INFORMATION ' I .+�__._ w .. ...» _«a.s. ..�.� �-_ '— •. SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall •I13 Finish Grade ..r _. ._..._ ..__ _ _. _�. �� _... 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 i 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 STREET NAME t I 1 i f ' e J 'flr� fa f'� Tl' "fit F' 4 XT, TOTAL FEE */C•Q�I,TY/STATE/ZIP- (� �jp'ppp �+,, �1pa�ty,{q�►gq!'Y�}g� yj�{q r��`�[C.T. 9 WrS!S$/�SPA�C(E 'v�l.`TWt l imo�"'f/(6y.}K's DYi C.�YAO vd�n�i�✓i�i�1.j,1q'�:Y-"pb(�'�IIPyYYavLt.1iiNNl!fifi;; . "."W 0.-y d04.M P{D51 It��. TWN 6vQl S� S ..T L�U:��., _ n Ml7A SB TRACT:NAME yy��P1A CONTRACTOR-FIRM NAME ADDRESS . CITV!COMMUNITY/STATE/ZIP , PHONE p' LICNC # -ARC/ENG-FIRM NAME - ADDRESS r= 1 CITY/.OMMUNITY/STATE/ZIP . PHONE It + LICNC N FSB I% oso 0.; ZONE ORD N LOT SZ END.. j►S �y t I 1 i f ' e J 'flr� fa f'� Tl' "fit F' 4 XT, TOTAL FEE 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 t 9 Gaioge Fire Wall 42 Commercial Hood 10 Fireplace P. L. ❑ 43 Final IDA Fireplace T. 0. No ADDITIONAL INFORMATION --- --- ---- -- - - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Interpol Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final - - _. -- -- FLUW%GctiG-'A-FPIZOVa'6;S------------------- 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 Fixtures , 31 Service 32 Final STREET NAME