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09533 GradingAPPLICANTL MI ANDMA 9$ LAA�i.� '. ADDRESS n �. 011f43� ,r� x CITY/COMMUNITY/STATE/ZIP ' ' - J' tF. t 1 .LA, 6"lt3IWA CA, 922236 0 0 0 I -JOB SITE ADDRESS/SPACE a. � w G ,S CITY/COMMUNITY/STATE/ZIP Bz.` PAG PRC - C TWN RNG. SE S h, x'tj " TRACT '^' '�.�, LOT. MOO SB e TRACT NAME OWpeNER 6NO . Z CONTRACTOR-FIRM'NAME ` - 1 ADDRESS - ^ CITY/COMMUNITY/STATE/ZIP PHONE'a - LICNC If y 'A ARC/ENG FIRM NAME 4+ ' ADDRESS, _ �'' t PASO! , CITY/COMMUNITY/STATE/ZIP ' T K :,PHONE N, - LIC}NCek�Q! ' e ,rUSE OF PERMIT � -,BL ,ZON FSB SSB' - ,SSEI, R B,, t r �• rOFC x - ZONE ORD N + ' LOT S2 END SIDE APPL/PRMT # PS UATE . i t i I I i • L V TOTAL . FEE . . uINSPECIORS COPY n �. 011f43� ,r� � ! •■ .g{ {p�,�; �Cw,�'/y. wy 1■ro�{•y!. apwp ■Y.�� paw p■�� r■s yy� yWrM�.gp/�pa1 Ar rl • oR M RAb:MWQ',i.-•-�i1. Mt •'y, ' - J' tF. t 1 M4FIA MA`:. 1 x •f'P%• e FORM 284-2081(2/81). y Z�ti : + �T 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 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. 0. °o ADDITIONAL INFORMATION 1 �. ' ., ' T ' - -- SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) ''• +• 128 Ceiling (Botts) 12C Ceiling (Blown) 14 Final ---------------FL:::BING-r-PROV4'-----r-------------------------------------------------- .1=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 t f k APP,LqICAAANF' ,NAgMEr'.(1L,,F Ml))�..�p� jt,.r {. Jt��F`i �7i=i�i+i.�1 H.h„�l`0�+�c{iYe7 ,..,�-.>T+.-•+.•ar.:.-w w- • .e.�r...r-.a.ro . 4.p\:OIL },�"U•i9��`.. }.;•n•#. - CIITYIqCCOMtMp�UU'NIIT`Y/OpS,TTfATEE//ZIP - �.µ p Os,:.A 7�E�rf:�FV��A''�C E. r�+9Y'! •�i! �l��tJ.�Cl Wri7�•V �4 JOB; SITE ADDRESS/SPACET4- A - 1 atm xt�i� NttlT6 4 cl MQUI,/��1P..I' . to���V'V� BOK4 PAG R'PRC •�•-, TWN - 'ANG . SE S +{_ ,-/.....TC FOAM p . p TRACT ' LOT ' Air+<tP��r�v���i:� "r r�A MOD•SB :!`. _ - r �t (► .af.: _ t •• lti 1. .. _ 9 � L•• lit TRACT NAME LAND CONTRACTOR-FIRMNAME ADDRESS- - - -- 1 r CITI'7COMMUNITY/STATE/ZIP- . e I i i •� 'PHONE # LICNC 0 Sa tY. J ARC/ENG FIRM NAME .r ,..i `. , Asae ADDRESS CITY/CO M M UN I TY/STATE/ZI P 4 to 616, PHONE: # {'( `�� LIgCNeeCy # •. - - ' ,q'P�..�• A :�ti 1.. _ TOTAL. FEE US�E•c,�OgF qPERMyI�Ti4.�,.�+., pxt /Lp� -�- p .:.,}� -' flKKp Y'u F .�vlr UT. Zp�Oy�N FSB SSB •�;SnSSppB�� 'RSB� O+FyC��-P R .U�CJ �: .sr.� , I Pot K3 y, ' � � � ! ' �`iI•i7. - `� \7... r y Q+ IN ' • "ZONE ORD # LOT SZ.. - - END . SIDE 4 �w � � .'fir .. 0 Q: AP{PPL/APRIMT # ....' pLR,DFl�V,NppV yiyY� ir :'ai�..ydYi;�iy7c6w�.t •' `�C r�• �y.��iqrCpDTQAjTEr3.�17!:� r . �w n 2: s �,Y �� �j #��F vt J. „LJryt -S a �1. fti F Nti-T ,l•. ij.� 44-17 Gi s- 01.:t +{_ 0 O. tis i' �� C G! Y'i9 �Cu4 i $ 7� � � ,��' ' ' _ 9 p'6 � iiuve y, ° ?4'� ' Air+<tP��r�v���i:� "r r�A rain �u��; i�tu�v►c9Ti �tE#i1 `5 t t ._ .. `EV 7�a�itC► t•t.t,1t ip r1'_ .af.: _ t •• lti 1. .. _ � L•• lit 1(/Atc- I�//�/[�/.'�/ `�� / -. �y ,y�g.���.�r�y�y' �4'y{y�^y�r ' PERKM ;i •" .P- 1.O!`E� 4�i�6 �a Yp��6' �;t,�4, j' �p Yv,fiI.�l�..5�" AN , ,q'P�..�• A :�ti 1.. _ TOTAL. FEE �,r INSPECTOR'S r . �w •,11-4.3 2: s �,Y �� �j #��F vt J. „LJryt -S a �1. fti F Nti-T ,l•. ij.� 44-17 Gi s- 01.:t +{_ 0 O. tis i' �� C G! Y'i9 �Cu4 i $ 7� � � ,��' ' ' _ 9 p'6 � iiuve y, ° ?4'� ' Air+<tP��r�v���i:� "r r�A rain �u��; i�tu�v►c9Ti �tE#i1 `5 t t ._ .. `EV 7�a�itC► t•t.t,1t ip r1'_ .af.: _ t •• lti 1. .. _ � L•• lit 1(/Atc- I�//�/[�/.'�/ 4 �w � � .'fir .. .ri .4,h )� ,1 1 e• � r ' - .� t • FORM 284-208 (2/8dl-1) t,X'",[_1 }' a,a . a..., .. •' Yra .*. - } r`r " , e..., _.. . e r ..i }. ;? i..� s. _ - C.•r -Y. l• Yr •♦ M i, 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 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 Gotage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.O. °o ------ ADDITIONAL INFORMATION - ' ----------------------- • -- - --- - r. - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 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 ELECTRICAL APPROVALS P/L P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME y ♦4 4 APPLICANT NAME (L. F, MO _r_ - • --- County of Riverside r Department of Building and Safety ' y e 4080 Lemon St. 2nd Floor 135 N! Alessandro Rd. Rm. 203 880 N. State Street - 227 North "D" Street 46209 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: 849.1312 Ph: 658-4464 Ph: 657-3898 Ph: 342-8271 Ph: 922-2670 ' This permit becomes void if work not commenced within 180 days from date of issuance. OR, if work r 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 (commencing 'CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed if the with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. permit is for one hundred ($700) or lets. I certify that in the performance of the work for which this permit is issued. I CI / O TY/STATE/ZIP shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. License Class Lic. Number Date Applicant Date Contractor NOTICE TO APPLICANT: If, after making this 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 following Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, . deemed revoked. improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing 0. 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for - made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil 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 nyt more than five hundred dollars (5500)J: - C.A.C.) `f�1 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial gaiety, as noted above, unless such person has a permit to do such work from that division. Tuclure 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 Division of Industrial Safety Permit No. . his own employees, provided that such improvements are not intended or offered for sale. IL 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 did not build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of - as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, the work for which this permit is issued (Sec. 3097. Civ. C.). - - P1, siness and Professions Code: The Contractor's License Law does not.apDly to an owner of property who builds or Lender's Name improves thereon; and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's Lender's Address License Law.). - •- I certify that I have read this application and state that the above information is coraCct. I agree to comply with all I am exempt under Sec.., • , B.,& P.C. (Attach Certificate), city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date Owner LICNC 4 WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a Signature of Applicant or Agent Date certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. Q. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read thisapplication and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to building can - Policy No. Company struction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon Certified copy is hereby furnished. , _ the properly for which I have applied for this permit for the purpose of making inspections. Certified copy is tiled with the County Building Inspection Department or County Department: Signature of Applicant or Agent- Date . Date Applicant _ Print Aoolicant/Anent Name i APPLICANT NAME (L. F, MO _r_ - • --- - _-'- _ - - - r A CI MU / E/ZIP JOB SITE ADDRESS/SPACE - N' +9 . CI / O TY/STATE/ZIP -- 0iim -T it imi ib in BOK PAG RC C - TWN - RNG SE' S T AC OT MOO B TRACT NAME - OWNER NAME (L, F. MI) CONTRACTOR -FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE fr LICNC R ARC/ENG FIRM NAME DAVIDSON -A RES - ASSOC, ASEO CI Y/CO MUNITY/STATE/ZIP PHONE k' - LICNC 4 USE OF PERMIT BL ZONFSB SSB SSB R B OFC ZONE ORD 4 LOTS2 END SIDE _ FORM 284-208 (2/81) APPL/PRMT fr - PS DATE 011431 UUUUY533. X6 12 1 ' ASSESSOR COPY TOTAL FEE 1-011431 APPLICATION POR GRADING PLAN REVIEW T H I S .I S A N A `P F L I G A Y 1 0 N O N L Y r APPLICANT NAME (L, F, MI) .� ry CITY/COMMUe'NIITWST+A��T••E�y//yZIP + • +,1, LA eA p.,,p /� n `� 'JOB SITE ADDRESS/SPACE CITY/COMMUNITY/STATE/ZIP.,, y i. :BOK ' PAG' PRC _- 171N • C TWNRNG SE- S r 101,2 .TRACT -.LOT MOD , SB "• 00 Rego ;TRACT'NAME . _y 'r. _ ^y '•^ -OWNER- i ;CONTRACTOR -FIRM NAME ADDRESS ., < CITY/COMMUNITY/STATE/ZIP• ' • .' PHONE # i - LICNC N _ .} ARC/ENG FIRM NAME ADDRESS *Mlll EL PAS '( in CITY/COMMUNITY/STATE/ZIP \ '4VALVA `60.0,921; CA 9922146�06 PHONE.q v"• S LICNC N - USE OF PERMIT, a` 8L ZON -FSB .SSBq SSB RSB , • OFC 60" 043 y ZONE ORD, p "{{ 'LOT'S2 �i •+� END '- ' SIDE i r ' + APPUPRMT p 1-1 PS DATE 0 11-4 3.:1 i 1'• • � .moi + t - y J {pq� d�ryry. .�q yy FOR � ay { / Q��� a ,.P i': ice• A P •.f. 6i P.6:. - WEVIEW TOTAL FEE >. INSPECTORS COPY, �0,. �. •� ' , ; . .. � ..0114 3 �.a 3 ti f'V40 T Oiew �( ;y..� a •..4s, :,a -T I - • O N v ! y M FORM 284.208 (2/81) ', < NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & 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 B Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T. 0. 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 (Botts) 12C Ceiling (Blown) J 14 Final FLJMBING-ArrROVIA,.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