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26646 (ELEC)PERMIT APPLICATION County of Riverside Department ,%51ale of Building and Safety - 4080 Lemon SL 2nd Floor 135 N. Alessandro Rd. Rm. 203 ` • _880 Street 227 North "0" Street 46.209 Oasis SI. 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: 658.4464 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 lot a period of 180 days. S CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need nor be com- LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter9 (comltrenc- pleted if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensa- tion Laws of California. - ❑ Date _ Applicant CONTRACTOR -FIRM NAME NOTICE TO APPLICANT: It. alter makinglhis 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 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 for such LICNC N 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- Of hereby certify that no excavation live (5) or more feel in depth into which a person is required to descend. will empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- be made in connection with work authorized by this permit, and that no building structure. scaffolding. lalsework. mit subjects the applicant to a civil penalty of not more than live hunderd dollars 1$500).): or demolition or dismantling Ihereoi. will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2. Sec 341. ❑ 1, as owner of the properly, 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 dusirial Safety, as noted above. unless such person has a permit to do such work Irom the division. through his own employees. provided that such improvements are not intended or offered for sale. If, however. ❑Division Industrial Safely Permit No. the building or improvement Is sold within one year of completion, the owner -builder will have The burden of prov. of 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 thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) ❑1 am exempt under Sec. . B.8 P.C. (Attach Certllicale). 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. R VAN 0" f4w T.N 1"' FA t13/c:7BERMUDAS , 5 yry ygy hSAVINGS JDIR SSL O AVEVG BERMUDAS LCIT, ICOtrvt„M•yJ•{ J I AIZIP CA 922530000 Z)IEYVWRESSISPACE AVE BERMUDAS F WC O r] Lj([Jj T eS Aj• IZIP CA 922530000 22 53 0 Y © 0 t(Wi 7D6q 2'91 3' 7WN tJ RNG 0V0( 00 SE S it fit000 JW625 I 160h SB °WA. t .U 4 l, LOTS 25&26 PvA'CPfMVV"R'INGS'i SAVINGS & T-4iNN CONTRACTOR -FIRM NAME LICNC N ADDRESS CITYICOM MUN ITYISTATEIZIP , PHONE# BLD INSPECTOR FINAL ATE ARCIENG FIRM NAME LICNC N ADDRESS CITYICOM M UNITYISTATEIZI P PLAN If EXAMINER APPROVE DATE ggFF RIVI44 USE 7tL rJ {TSE " PERM. POWER PERM. u`o COO§. alb 01`6 o eb 106`1 F'P'S G7 OR N LOT SZ END 006DE 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 slate that the information given is correct. I agree to comply with all state laws and county ordinances relating to building construction, and authorize a represer live of the County of Riverside. Department of Building and Safety to enter upon the property for Ahich I haaa e a lied for this permit for the purpose of making inspections. L Sigfiat0 tf ol'Applic h orlAg&nf' /Date' / 'or, Print Applicant/Agenl Name TRY I:. T' 04/1y0yE 26646 ELECTRICAL ICAL FEE $13.00 GOOD FOR 90 DAYS i►0.00 TOTAL . 3 •N'I I FEE+. ll CA C NC COUNTER T.I. COUNTER L.U.T. ? Y /067 E L. C C; T R I G A L» P E R M I T TOTAL. PERMIT COST 18 $13.00 Nature of Situs Comment .. _..__.__.w Action Waken Case Use No FLOOD MANAGEMENT PERMIT A008926 ON THIS PROPERTY ELECTRICAL FEE COMPUTATIONS * Permit Feer (if applicable) FEEL $3.110 T "Mie SVC -Tem OCons tr Svi : ut N Temp Use Pt t Y Add' l Poles: 0 FEE t $10.00 GOOF FOR 90 DA S $0.00 K'.' 13 FORM 284208(11.81) iNS.PECTOR NO. OPERATION DATE INSPECTORK-y Na). OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 6 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 IDA Fireplace T.O. FIN 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 (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 P/L "t ' P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service l9` 32 Final STREET NAME