Loading...
10614 + 10615 (RIV)49200 Avenida Anselmo , .:: ..n .. .. .. .. ..., _ ,.. ... .. .. - .... .., .. .-rcnmil Rri-Ll4Arw111 .. .. ... .. . ._ .. .. , County of Riverside Department of Building and Safety 4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 203 680 N. Slate Street 227 North "D" 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: 922-2670 ' This permit becomes void if work not commenced within 180 days from date o1 issuance. OR, if work has beec 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 it 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 ($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' 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 Li.ense Law for the following Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, 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 Contractor's License Law (Chapter 9 (commencing E] I 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, lalsework, or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subiecls 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 not more than live hundred dollars ($500).): C.A.C.) n 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 structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law a ety, 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 through [] Division of Industrial Safety Permit No. 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 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 • the work for which this permit is issued (Sec. 3097, Civ. C.). + PI, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec7044, Lender's Name siness and Professions Cade: 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 Contractors 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 ❑ I am exempt under Sec. . 0. 6 P.C. (Attach Certificate). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of his county yto enterlupon the above-mentioned properly for inspection purpose q " ' .. k Date Owner 1'`s+` ,C, 'Y ...- i i. WORKERS' COMPENSATION DECLARATION: 1 hereby allirm that I have a certificate of consent to sell -insure, or a.^ Signature of Applicant or Agent Date certificate o1 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 state that the information given is correct. I agree to comply with all slate laws and county ordinances relating to building con. 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 property for which.) have applied for this permit for the purpose of making inspections. Certified copy is filed with'Ihe County Building Inspection Department or County Department. Signature of Applicant or Agent pate Date Applicant Print Applicant/Agent Name I APPLICANT. NAME (L, F. MI) I JOB I BOK ' I PAG ' I PRC . I C I - 1 TWN I RNG MOD I SB TRACT NAME OWNER NAME (L, F. MI) T%ata +rkM vfnbi CONTRACTOR -FIRM NAME •N ADDRESS ` - I' I LICNC 4 ARC7ENCI FIRM NAME ADDRESS APPL/PRMT 4 LOU PHONE.q LICNC k IIIIIIIIVIIIIIIVIIIIIII 78 USE OF PERMITDbil It, ATI 1449 - 1E E BL' ZON FS_B SB. SSB RSB .. OFC '.I — ,s. sa.. w-1— OTAL FEE i%WArC CVCTC&A C"r O IA/`ATIA&1 ELECTRICAL APPROVALS STREET NAME 1 REAR OF PROPERTY LINE 01061b FOR STRUCTURAL PLAN REV15W JOT)NL PERMIT C0$T XS CONSTRUCTIOU'I;ESTXMA'ft,4N(IT5t Nal to bo used as properip valu*tion) 'i' -*CC Group - Tle sa F1 Rate Valuation iRIMARY DWLG - Ddi R-13 v- 092 *27.60 $85339 SEONDRY PRIGAA dA' .726 '$9 - $6621 SF-CNDRY.- PATTIO, W412 SECMDRY-AMMIN, Q'921 R-3 'R QF $2 20 $6802 Cat.ploil R'oy' Fdo bad on Total Eatt"AT-ed Valltq -of $99177 l0q, $201 4n Z *,I All, . . 284-2081(2/811 7T NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs 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. 0. °o ADDITIONAL INFORMATION 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 1 Final iC rcnmll RrrLIbRI Wn c 2 County of Riverside •4if Department. of Building and Safety 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "D" Street .r 46.209 Oasis SI. Rm. 310 160 N. Broadwa Riverside. CA 92501 Banning, CA 92220 Hemet, CA 92343 Perris, CA 92370 t` Indio. CA 92201 Blythe. CA 92225 Ph: ,787-6146 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, it work has been suspended or abandoned for a period of 180 days. 7 LICENSED CONTRACTORS DECLARATION: 1 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 (5100) or less. I certify that in the performance of the work for which this pgmit is issued. I License Class Lic. Number shall not employ any person in any manner so as to become subject to the Workers' Compensation LawVf California. • R Date Applicant Date Contractor NOTICE TO APPLICANT: IL 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 Contractor's License Law (Chapter 9 (commencing E] I 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. penally of not more than five hundred dollars (5500).): C.A.C.) I, as owner of the property, or my employees with wages as their sole cbmpensalion, wilt do the work, and the Y [ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial is not intended or offered for safe (Sec. 7044, Business and Professions Code: The Contractor's License Law Safety, 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 through E] Division of Industrial Safety Permit No. his own employees, provided that such improvements are not intended or offered for sale. It. however, the building or Dale 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 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 (Sec • 7044 . .Lender's Name usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or ZONE OFM OP improves thereon, and who contracts for such projects with a contractors) 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 correct. I agree to comply with all ❑ I am exempt under Sec. , B. 8 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 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.). Policy No. Company ❑ Certified copy is hereby furnished. F1 Certified copy is filed with'the County Building Inspection Department or County Department. Date Applicant APPLICANT NAME (L. F, MI) <,; ` "'r?'4 s,>-r.>;: •t,; A Trailer Park C4"AT / A E/ZIP r --,r Motel, Apt., Hotel ✓ Dwelling JO I E 1966M61eP11Xh CIT / O V/STATE/ZIP AVE ANSELMO ; ' ' BO C TWIN S TR ,TMOD SB TRAC N • R O RNA • ,MI CONTRAC OR -FIRM NAME AD RE 1» CI ! Mm TV/A IF, n P k LICNC n - - r ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE q LICNC n USE OF PERMIT BL- Z SSB SSB RSB OFC ZONE OFM OP -k"l.OTtt"4D I Signature of Applicant or Agent Date 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 state laws and county ordinances relating to building con- struction, and authorize a representative of the County of Riverside. Department of Building and Safety to enter upon the property for whictil have applied for this permit for the purpose of making inspections. Signature of Applicant or Agent Date Print Applicant/Agent Name APPL/PRMT a PSI DATE FEE APPLICATION FOR STRUCTURAL. PLAN REVIEW T H I S I S A N A P P L I C A T I Q N O N L, Y You most tree the a Pettit can by Description HOLD- HOLD - FORM 264-208 (2/e1) 010614 010 614 1q following Departments .(if listed) for concurrence BEFORE issued t ----. WE TF o So RIVERSIDE COUNTY DEPARTMEWT OF FURL !C 1 DIVISION Of ENVIRONMENTAL HEALTH Food Establishment ' <,; ` "'r?'4 s,>-r.>;: •t,; "' Trailer Park :_=:„ r5 l;it Sewage Disposal --,r Motel, Apt., Hotel ✓ Dwelling •I Septic Tank Sq. F df Leach Line Commercial Building ; ' ' x Seepage Pit Swimming Pool Connection to Sewer —/No on-site regenerating water softening devices may be discharged into the Individual sewage disposal system herewith approved without clearance from the Water Quality Control Board. jWater supply serving this installation must be from an approved source. - All sewage disposal installation must conform with requirements of current Uniform Plumbing Code, Any cutting, grading, or filling in excess of four (4) feet will nullify sewage disposal approval. Approval has been obtained from the Regional Water Quality Control Board for installation of the sew: age disposal system, I his is to certify that the Riverside County De rtmen / :1r installation the item(s) checked above. t 'rT Public Health,–Approves 1p[ oCgttpaMy/tgonstructiori Date By_ WA. 1 PERMIT APPLICATION + CITY/COMMUNITY/STATE/ZIP LA UI County of Riverside U TWN RNG BE S TRACT LOT De artment BuildingInd Safety p 4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 860 N. State Street 227 North "D" Street 1 46.209 Oasis St. Rm. 310 Riverside. CA 92501 Banning. CA 92220 Hemet, CA 92343 Perris. CA 92370 }• Indio. CA 92201 Ph: 787-6146 Ph: 849.7312 Ph: 658-4464 Ph: 657-3898 Ph: 342-8271 This permit becomes void if work not commenced within 180 days from dale of issuance. OR, if 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 (commencing with Section 7010) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Date Contractor Lic. Number 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 construct, 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 exempt therelrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): YYI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the l ructure 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 -builder will have the burden of proving that he did not build or improve for the purpose of sale.). PI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, usiness 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 Contractor's License Law.). ❑ I am exempt under Sec. . B. 8 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.). Policy No. Company Certified copy is hereby furnished. Certified copy is filed with'the County Building Inspection Department or County Date Applicant Department. APPLICANT NAME (L, F, MI) DREW A MN 117` CITY/COMMUNITY/STATE/ZIP LA QUINTA CA 9225300130 JOB SITE ADDRESS/SPACE 49,200 AVE ANSELMO CITY/COMMUNITY/STATE/ZIP LA UI BOK PAG PRC C TWN RNG BE S TRACT LOT MOD SB TRACT NAME LA 011INTA GOIF ESTE; *1 OWNER NAME (L, F. MI) CONTRACTOR -FIRM NAME ADDRESS 51200 AVE BERMUDAS CITY!COMMUN ITV/STATE/ZIP LA QUINTA PHONE a 714-564-927 LICNC 4 2875941 ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/STATE/ZIP PHONE 4 LICNC # USE OF PERMIT CAR 8LZON FS8 SSB SSB RSB 1011 OFC ZONE ORD 4 LOT SZ END SIDE 160 N. Broadway Blythe, CA 97225 Ph: 422.2670 e CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed 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' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: 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 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 B. C.A.C.) As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial a ety, as noted above, unless such person has a permit to do such work from that division. O Division of industrial Safety Permit No. Date Applicant CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and slate laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Signature of Applicant or Agent Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate that the into rmation given is correct. I agree to comply with all state laws and county ordinances relating to building con- struction, and authorize a representative of the County of Riverside. Department of Building and Safety to enter upon the property for which) have applied for this permit for the purpose of making inspections. Signature of Applicant or Agent Date Print Applicant/Agent Name APPL/PRMT It PS DATE 0106 14 R U.S. CENSUS COPY TOTAL 1 FEE APPLICATtON FOR STRUCTURAL PLAN REVIEW T 19 1S AN Ap P L Ii CAT 1 0 N a N L y You Must see the following DepArlme"t% (if J$Sted) 'for concurrence IDEFORE a pe-r"i t can bap issived t / j y MPW—y Ml!yy .— Description escr ip t i ort w .•M YN YMWw. wr+»an yr ---coy Mr «o w...wF l.)w....—U------- w.1!. wr.w•oer 4+.w p t $ see HOL HOLDM. QIYER5108 COUNTY D>:PARTMfNT OF )-xJRI" ,-•-/.'H' R1 A , DIVISION OF ENYIRONMENTAL HEALTH 1<11 Food Establishment Sewage Disposal r • r ar'- ""•; :' Gal. Septic Tank Trailer Park u ...::... „ Lrach line *oral, Apt., Hotel Dwelling • •/ r _ .._ Seepage Pit $ Commercial Building - Connttctit3n to Sewer Swimming Pool No on-site regenerating water softening devices may be discharged into the individual, sewage disposal system herewith approved without clearance from the Water Quality Control Board. Water supply serving this installation must be from an approved source. II sewage disposal installation must conform with requirements of current Un(fcxm Plumb! Cod^ Any cutting, grading, or filling in excess of four 4) feet will nullify sewage disposal approval. Approval has been obtained from the Regional Water Quality Control Board for installation of t :eco age disposal system. /? 1 This is to certify that the Riverside County Department, f Public "0411te! 4PPr011"-fot 0004WMI f orah or Installation the Item(s) checked above. Date ✓' By- CORM 284.208 (2/81) 1 APPLICANT NAME (L, F. MI) MENA CITY/ MMUNIT /S A E/ZIP .' 444L JOB SITE ADDRESS/SPACE - CITY/COMMUNITY/STATE/ZIP -' BOK PAG PRC C TWN RNG St L S TRAC LOT MOD SB TRACT NAME LA Qlul"U COLF OWNER NAME (L, F. MI) - -STS 04 - ' CONTRACTOR -FIRM NAME ADDRESS 53200 AVp BERMUDAS CITI!COMMUNITY/STATE/ZIP " lquximu CA R4 PHONE N - LICNC N ARC/ENG FIRM NAME ADDRESS CITY/COMMUNITY/?TATE/ZIP PHONE N LICNC N USE OF PERMIT BL ZON F B SSBSSB RSB OFC ZONE ORO N -• LOT Z - END TIOE APPL/PRMT NPS DATE 010 614 A. /. 1I TOTAL . FEE 010 614 APPL CAS` N is OR S'TRUCIORAt_ PLAN REVIEW TNT', IS AN :APPLI,C_AT TON 01*L1Y You most see lho f+t l lowil'19 DoparlMOffa (if lislod) tot* w€tncNa►*ponce BEFORt a peril can be Ar sued i , _,w_p HOLD- ROAD FORM 284.208 (2/81) A Illllllllllllllllllllllll79v,r IE 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 & 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. 0. °o ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Wolfs (Botts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final 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 t ..Final 4 - STREET NAME