Loading...
403573 (RPL)6UIWING YtKMII � PERMIT No. DEPARTMENT OF BUILDING & SAFETY 403573 COUNTY OF RIVERSIDE FIELD oST I W-1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES LL NO. PLUMBING FEES 1ST FL. 2ND. Fl. POR.50. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS s �� Owner t \."'�•� � +•d SO. FT. @ YARD SPKLR SYSTEM ; FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ - DRAINAGE PIPING F.C.C. SO. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL Use o ermit Legal Description VALUATION $ WATER PIPING r1 S a - a% i.✓ Parcel No. f U,./Col.'Nof �J 'y / —7 4/ ! ., d' Set Backs lot Size F 5 V.+ S R Zone R ictions Group Type ' NOTE: Not to be used as property tax voluotion SWIM POOL, PVT Micro Film Fee Cop $ FLOOR DRAIN PI. Ck. Fee $y Lr+ MECHANICAL FEES SWIM POOL, COMM SMI Fee WATER SOFTENER ;�s 4, Y• VENT SYSTEM FAN EVAP. COOL HOOD SIGN Plan Checker WASHER (AUTO)(DISH) Final to Try( I -' — APPLIANCE DRYER Inspector Unit GARBAGE DISPOSAL Sp. Insp. Fee S FURNACE UNIT WALL FLOOR SUSPENDED S LAUNDRY TRAY 1 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Branch COMPRESSOR HP POLE, TEMP/PERM Numbers LAVATORY Fee $ HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT Witness Fee $ SHOWER BOILER B.T.U. SO. FT. @ a BATH TUB Zip SO. FT. @ a Total Fees S WATER HEATER Address � r' r 50. FT. RESID @11/44 City �., SEWAGE DISPOSAL t' M.O. N. Cash ❑ Check 50. FT. GAR @ 1/4a HOUSE SEWER Receive .� Trees GAS PIPING Con PERMIT FEE PERMIT FEE QJ PERMIT FEE DBL. �rTAL FEfSMOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE WTE T. FEE $MI FEE FEE PLUMB. FEE � PERMIT NO. 403573 Job Address �" - .� Space Zip �� Owner t \."'�•� � +•d `!-^•�+( u , Community Valuation Dote - Dist. Off. F.C.C. Use o ermit Legal Description - \,,,`L 1'�'` � IL— r1 S a - a% i.✓ Parcel No. f U,./Col.'Nof �J 'y / —7 4/ ! ., d' Set Backs lot Size F 5 V.+ S R Zone R ictions Group Type ' _` Ck. By s MH Permit Fee S Micro Film Fee Cop $ Mach. Fee Dbl $ PI. Ck. Fee $y Lr+ Construction Fee Dbl $ Electrical Fee Dbl E SMI Fee Plumbing Fee Dbl $ , ;�s 4, Y• Bond Amts Plan No. Plan Checker Final to Try( I -' — Inspector Unit ' Sp. Insp. Fee S S V6 Demol. Fee $ , Const. Lender Branch Supplimental Permit Numbers Fee $ Mileage Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees S Address � r' r A City �., Zip M.O. N. Cash ❑ Check Receive .� Trees Con Tel. \ Ucensell required ` v GT Sewage System Address City Zip T LL P CHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK [ Sewer District j FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH j..-/ THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I tjEREBY CERTIFY THAT THE INDIVIDUAL WHV PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: 'j l NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECIOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back �V / 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel t' �id Zo 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams '0 sN 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Deice 9 Garage 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 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) '7� ld Final Z -I1- u PLUMBLNG.APPROVALS _ .. 15 Ground Plumb 16 Water Piping 17 Rough Plumb i 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final l2^ Z— Tank Pit L. Line 1 REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L P/ { 26 Power Pole 27 Conduit 0,vaj 28 Service Entrance 29 Wiring 2 D 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final • STREET NAME jZ F s/ A cti�c�" ��' 2•• : I • ' MR`• y 1 �,�� . G— £c=2C C' STI `✓E=`Ns ..� .. .. { /7'X30 /Cao Qs�r i y.S (r a AKA � ��� -_. �"F RECORDED PARKING FRONS- YAPD _ - OADING ( SIDE B rd DAT ARD �-tEfCF(7' BLDG. E � OF LOT COWL). APPROVED R) SETBACK ORD. --- ---- - 3_. D USE DI Z-7 FE` �� --- - wlor to Etna! tnspEct�on or an�p"' -bY the C untY Ordinance 421 1 qu�rc�d G. H.. POOL ON�STR TC'PIO I P. O. BOX, 399 UR IN �CATHEDRAL CITY, CALIF. 924 r ` AD PHONE 328-2681 i POC L. - . �/•/ G S`Q'. FT � � 7-1 foo CA2:T2i0eo z. F,1 Ee-i 44 P �vrb ry ( 0 N0 I%,e yu/ELL COUNTY OF vtovFP5e®1 DEPART GE& SAFE OF BU � AP 0 ED • aTZ"� BY plans shall not 'ba construed to val of these P royal of, any" laws oThis y s» or ant„e state or county a permo 1 cons of the lob until comoletln^ ` he ut be kept on I i Atm 1 jZ F s/ A cti�c�" ��' 2•• : I • ' MR`• y 1 �,�� . G— £c=2C C' STI `✓E=`Ns ..� .. .. { /7'X30 /Cao Qs�r i y.S (r a AKA � ��� -_. �"F RECORDED PARKING FRONS- YAPD _ - OADING ( SIDE B rd DAT ARD �-tEfCF(7' BLDG. E � OF LOT COWL). APPROVED R) SETBACK ORD. --- ---- - 3_. D USE DI Z-7 FE` �� --- - wlor to Etna! tnspEct�on or an�p"' -bY the C untY Ordinance 421 1 qu�rc�d G. H.. POOL ON�STR TC'PIO I P. O. BOX, 399 UR IN �CATHEDRAL CITY, CALIF. 924 r ` AD PHONE 328-2681 i POC L. - . �/•/ G S`Q'. FT � � 7-1 foo CA2:T2i0eo z. F,1 Ee-i 44 P �vrb ry ( 0 N0 I%,e yu/ELL COUNTY OF vtovFP5e®1 DEPART GE& SAFE OF BU � AP 0 ED • aTZ"� BY plans shall not 'ba construed to val of these P royal of, any" laws oThis y s» or ant„e state or county a permo 1 cons of the lob until comoletln^ ` he ut be kept on I NOTICE: THIS IS NOT A BUILDING PERMIT 1 DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 199 9/74 CANARY—FILE, PINK—APPLICANT 1 N I I 0 ner Contractor f r p AddressiG+ciBrre' Address ^ t 'fir "-/' City Nri r ?/G City ;e— Phone PhPhone f W I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety 3 shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W 0 without an encroachment permit. NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occupied until I (we) have compliedwith all laws of the County of Riverside and the State of California governing said property. J DAT SIGNATURE OF OWNER AND/OR AGENT ll Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. aj I SPACE NO. �� f �� J✓ ��,� / USE OF STRUCTURE >.Y JOB ADDRESS / _ /V _ -7��� � ��� O(] � SINGLE FAMILY � DUPLEX C LEGAL DESCRIPTION OF PROPER c �� (� — APARTMENTS AGRIC. �, ,� rJ c rc, Lig. _ h C C —f COMMERCIAL E] INDUSTRIAL L, v COMMUNITY. ( ALTERATIONS n G C Z t¢� NO. OF SUBMITTED PLANS USE OF PERMIT CASE NO. Z NO. OF PARKING SPACES REQUIRED NO. OF B YLDINGS NOW EXISTING Zo ZONE < SETBACKS: FRONT _ fT SIDE > REAR J m GRADING PERMIT REQUIRED? YES [] NO ❑ LOT SIZE SETBACK ORDINANCE ___ OF FEET REQUIRED ON �""" �'� STREET DATE SIGNATURE OF LAND USE OFFICIAL't t DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET 19t— dL CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W G HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O C IMPROVEMENT? YES [INO ❑ °L DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL SWIMMING POOLS PUBLIC H WSEWAGE DISPOSAL FOOD ESTABLISHMENT S WATER POLLUTION REMARKS �n FLOOD CONTROL— zAIR POLLUTION _ I— DIV OF HWY 0 a — YOUR PROPERTY MAY BE SUBJECT TO o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 199 9/74 CANARY—FILE, PINK—APPLICANT 1 N I I -- �v�.i•• � `+��„� ,Y.�'."`' 4r�.`.�.�^'w..+--/'^.....'•�R�r;r-.,.,,.r,r..r" , .�.r�_l^��r•;s�..+d'.+a♦ �: � „w'•.. ,,.,�.. x .,, •• F.u� .. .�. "• - w _ ._ ,. ��_ DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE APPLICATION CERTIFICATE PERMIT # yD 573 Effective July 1, 1980, Chapter 1301 Section 19825 of the Health and Safety Code requires the execu- tion of the following applicable declarations prior to the issuance of.a building permit. Please print or type and sign below. Q LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code and my license is in full force and effect. License Class C 5-3 ,License o. e��r;M Date /O 0 Contractor / /V-- 0 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: [� 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. If I sell within one year of completion, I understand I will have the burden of proving I did not build or improve for the purpose of sale (Sec. 7031.5, B.&P.C.). [� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). Q I am.exempt under Section B.&P.C. for this reason: 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. Code) Policy No. _ / D R?7" o3 Insurance MP�ertitied copy rs hereby furnished. 0 Certified copy is filed with the County;of Riversrdee,,Department of-80-1.6trig—and—Safety. Date /(0 ?O Applicant Q CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if permit valuation is for $100.00 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. I further understand that if after making this Certificate of Exemption, I should become subject to the Workers' Compensation provisions of the labor code, I must forthwith comply with such provisions or this permit shall be deemed revoked. ' 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. 3091; Civ. Code). Lender's Name Lender's Address DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION Q I hereby certify that no excavation five (5) or more feet in depth into which a person is re- quired 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 Industrial Safety, as noted above, unless such person has a permit to do such work from that division. [� Division of Industrial Safety Permit No. Date Applicant 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 construction, and authorize a representative of the County of River3ade, �epar Pent—ofBuildingand Safety to enter upon the pro- pertyy for which I have applied'for�0is pe, a for—the—pure of making inspections. Signature of Applicant/Agent Date Print Applicant/Agent Name 284-2000 7/80 fBUILUING YtKMII PERMIT No. DEPARTMENT OF BUILDING '& SAFETY FIELD OFFICE 4035.7 3 DST ' COUNTY OF RIVERSIDE ' CONSTRUCTION 'ESTIMATE NO. ELECTRICAL ,FEES - ..-..�----._ - - - _. -�M -- NO. PLUMBING FEES Zip' IST FL. :2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ ' - UNITS ' Community Valuation SO. FT. @ - YARD SPKLR SYSTEM Dist. SO. FT. @ MOBILEHOME SVC.- BAR SINK ' F.C.C. ol SO. FT. .@ POWER OUTLET ROOF DRAINS Micro Film Fee Cop S SO. FT. @ - DRAINAGE PIPING - - /i.. 1•w/ L ( . J k_ • - DRINKING FOUNTAIN SO. FT. @ Use/Case SO. FT. @ URINAL - Ck. By ` VALUATION $ WATER PIPING '0 NOTE:Not to be'used as property tax valuation SWIM POOL, PVT79- _FLOOR _ DRAIN .O .. MECHANICAL FEES Swim POOL, COMM S S,•�' WATER SOFTENER VENT SYSTEM FAN EVAP..000I. HOOD SIGN - WASHER (AUTO)(DISH) SMI Fee - S 'APPLIANCE DRYER Bo d mt. S ' Plan o. GARBAGE DISPOSAL y final ata Or ��0 FURNACE UNIT WALL FLOOR SUSPENDED Unit LAUNDRY TRAY Sp. Insp. Fee ..8 AIR HANDLING UNIT CFM IDLE METER Branch - KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC 'Mileage Fee $ WATER CLOSET. Witnesr Fee g COMPRESSOR HIP POLE, TEMP/PERM LAVATORY HEATING SYSTEM, FORCED GRAVITY AMPERES SERV ENT :Total Fees 5 M.O. Q N. Cash Check SHOWER /"� n ' / Y'%y\ ,r%r/ / BOILER B.T.U. SO. FT. @ a Zip BATH TUB Con or • ' SO. FT. @ a WATER HEATER Sewage System • s " S0. FT. RESID @ 1'/4a CityNN, SEWAGE DISPOSAL ' . S0: FT. GAR @ s/4a HOUSE SEWER ' GAS PIPING (� PERMIT FEE + PERMIT FEE 09 PERMIT FEE DBL. IPTAL FE&S . �- MOB: HM. FEE MICRO FEE MECH. FEEPL. CK. FEE ,�. CO T. E�E� T' FEF SMI FEE FEE PL M8. FEE PERMIT NO.f 403573 Job Address-` - ..-..�----._ - - - _. -�M -- :- Space Zip' Community Valuation Dote Dist. Off. F.C.C. ol MH Permit Fee Micro Film Fee Cop S Use o ermt - • - - /i.. 1•w/ L ( . J k_ Parcel No. 7-7 "K Use/Case No. Ck. By ` Mech. Fee DbI S PI. Ck,. Fee S Set cks Lot Si-' _ Construction Fee Dbl S Electrical Fee Dbl S Legol Description °� - F S S,•�' R Zone R ictlons i I GroupType ' ' SMI Fee - S Plumbing Fee Dbl $ Bo d mt. S ' Plan o. .Pan Checker final ata Or ��0 Inspector - . D Unit Sp. Insp. Fee ..8 Demol. Fee S Const. Lender Branch - Supplimentol Permit'Numbers. Regisir. .Fee S 'Mileage Fee $ Address City. Zip Witnesr Fee g Reinsp. Fee S Owner/Agent Tel. Zip , :Total Fees 5 M.O. Q N. Cash Check Address' / ,�•� /"� n ' / Y'%y\ ,r%r/ / City ,. "_ . _ _ Zip Receive _ Trees required Con or • �0� Tel. Licenset+ 'vr Sewage System • s Address .. CityNN, Zip . T _ LL. p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION'OF WORK F yerified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. � - + I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH . THE LAWS OF.RIVERSIDE COUNTY' AND THE STATE OF CALIFORNIA. ' I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 28x208 (Rev. 1/80) �Ji ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.