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426915 (SFD)uuELvlllnv YCKMII PERMIT NO. PERMIT NO. 426915 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE RB OIZ6915 FIELD 5 DST F11 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEESt Valuation ate i iist.q Off. IST FL. 1211 2ND. FL. POR. GAR. 3'47 CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @23.44'7,$ 3337.40 UNITS 10F.C.. 1 5 01 Micro Film Fee Cop E YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ SQ. FT. @ r7 " 2464.00 POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING DRINKING FOUNTAIN SQ. FT. @ U SQ. FT. @1 .90 2910 1 S7nn URINAL VALUATION $ 337 12 . 20 WATER PIPING NOTE: Not to be used as property tax valuation &� ATT GARAGE SWIM POOL, PVT 771£1R1i�8-6 FLOOR DRAIN BS MECHANICAL FEES E SWIM POOL, COMM WATER SOFTENER lot Size 051 140 000 Construction Fee Dbl E J Legal Description VENT SYSTEM FAN EVAP. COOL 1 HOOD 3 ?,'0 SIGN Dbl E 2 WASHER (AUTO)(DISH) 0 APPLIANCE DRYER, 3 !a Type!! GARBAGE DISPOSAL 20 FURNACE UNIT WALL FLOOR SUSPENDED J. bbGroup••��,, R"'ti LAUNDRY TRAY V N Plumbing Fee AIR HANDLING UNIT CFM 44 0 Bond Amt. IDLE METER Plan Checker t 1 KITCHEN SINK 2 2 ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC e WATER CLOSET 5 0 COMPRESSOR HP 0y POLE,TEMP/PERM �! LAVATORY 5 HEATING SYSTEM FORCED GRAVITY tU 100 AMPERES SERV ENT 530 1 SHOWER 2 �O BOILER B.T.U. e SQ. FT. @ C H 1 BATH TUB 250 e E Address City Zip WReinsp.Fee$ SQ. FT. @ C E 1 WATER HEATER 2 50, 1211 SQ. FT. RESID @ 1 'A C 1514 1 SEWAGE DISPOSAL 1 Q• Tel. Zip SQ. FT. GAR @ : C 2 e HOUSE SEWER 568-1047e Total Fees S 1?_Address GAS PIPING City Zip PERMIT FEE 33,01 PERMIT FEE 3 0 PERMIT FEE 4W DBL. TOTAL FEES 312.66 MOB.HM.FEE MICRO FEE MECH. FEE 2A.5� PL. CK. FEE r'.7L CONST. FEE 23� .!d�7 ELECT. FEE 2,5.5a SMI FEE 2.36 FEE PLUMB. FEE 44.50 PERMIT NO. Job Address 0 Space Zip Owner 'DAN 42691 5 * /�' �f .} MONTUUM& t' D53 HORN Co+mm(A�i(VENj1 Valuation ate i iist.q Off. MH.Permit Fee E aWA A �L utNT& gHV"sY (�q �y /�2 E3312.2006r'"30-8i 10F.C.. 1 5 01 Micro Film Fee Cop E Use of Permit Parcel No. Use/Case No. Ck. By Mech. Fee Dbl E'1/Ge &� ATT GARAGE 771£1R1i�8-6 BS PI. Ck. Fee E 979 Set Backs lot Size 051 140 000 Construction Fee Dbl E J Legal Description 020 005 005 ��� Electrical Fee Dbl E •fir �+ry y�q V l 15 CtJ 195 SC V LAQ # 19 Zone Restrictions Type!! SMI Fee E J. bbGroup••��,, R"'ti V N Plumbing Fee Dbl $ 44 0 Bond Amt. Plan No. Plan Checker Final Dote Inspector Unit e E E E Const. Lender Branch SSu��p}}pliimeentta�lQQPe(r�miitt Numbers e E H Al A SG'F (G 6,91 5 e E Address City Zip WReinsp.Fee$ e E E Owner/Agent Tel. Zip AN BORA[ 568-1047e Total Fees S 1?_Address City Zip �{j� +� BOX 1638 r,�I spy P&LM DESERT M.O. ,. Cash Check .` . Receive • Contractor Tel. License" Trees re uir ✓ S c Sewage System Address Cit Y Zip , T LL P Sewer District C�4,1 9-30 -4•3 Z Form 284-208 (.v.8/78) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 CALVORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS IJAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE PCYINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO.., OPERATION DATE INSPECTOR BUILDING APPROVAL MECHANICAL APPROVALS 1 Set Backs 33 Ventilation System 2 Ftgs & Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel ?—/Q 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance — ?j 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device _ Z 9 Garage Fire Wall Z O 42 Commercial Hood 10 ' Fireplace P. L. 43 Final IDA Fireplace T.O. P' ADDITIONAL INFORMATION — — — — _ . . !� C L� SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) pp 12B Ceiling (Batts)Zee/ 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 7 19 Sewage Disposal g 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service��� 24 Gas Test 25 FinalMAN Tank tJZ�V / Pit GX1 �' L.Line REAR OF PROPERTY LINE D l PSL O IL �O ELECTRICAL APPROVALS 26 Power Pole 27 Conduit - 28 Service Entrance ' 54 29 Wiring � 29A Grounding Wire 29B Bonding 30 Fixtures _ 31 Service 32 Final STREET NAME�a��i'� C W z O OF 4 CL O U jj a< a 0 >- Z � W OLL J_ Q � N m ad e6 F: IL zW O Z Z C J O IL jr V., APPLICATION FOR TRE5 PLANTING I (we), the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees are required under River- side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspection will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the prop- erty owner shall cause the property lines to be surveyed in thia event no survey stakes can be found. Further, it is agreed that the County of Riverside shall assume no responsibility should trees have to be removed due to lot line errors. / Owners Name DAN HORN Building Permit No.- 2 Mailing Address�— I O/XCtt DeBeTt State 4 Z,9?;>i;o 3 Job Address L o 2,4 A -C- , , ��1 6R �ommunit La Quints _ c Legal Description Assessor's Map, BB000kk $ Page Type Structure dwelling Sl Type of Soil (3 —is water available es Road Dept. Plot Plan No. Type of existing trees in road right—of—war none Trees preferred by applicant (1) c.(2) (3) Date 3-26^81 Owner's Signature � �/� Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species pinus halepensis(AleRRo pine)15gal.size Number of trees 1 Spacing of trees Distance from lot lines: Front Side Additional requirements Street tree should be 2' inside right of way and a minimum of 10' from driveway. Date Building and Safety notified 7/31/81 Signature D.M. Reason Request for hearing: Owner's Signature Planning Dept. Concur ❑ D ate Road Dept. Concur ❑ Date YES ❑ REQUEST FOR EXCEPTION (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Non -concur ❑ Explanation Signature Non -Concur ❑ Signature O REQUEST FOR HEARING AND COMMITTEE DECISION z - Za Date hearing established Date hearing notice mailed to owner J p Approved ❑ Disapproved ❑ Date Owner notified of decision d 1 Date Building & Safety notified Signature tional page if necessary) f r . 9,J1.3flt `S 30 J_ IJ(,11 :;F,s7j j`j!. izi.;bmoI I ` , . is I11"'.Lii m A itaC or �` . _ �...- ....e...+.. -i-^^.. u.r .,..-.+.._•"'^ """w.-�^•+�.+.-.rte I G L "-7/l'` � i 4 i._' / IT N�j NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT f APPLICATION TO CONSTRUCT _ Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 4117 7 �/ G Owner DAN HORN Architect Contractor - 638 Address1 Address Address_ alm Desert City City_ Phone Phone Phone 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 O 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 complied with all laws of the County of Riverside and the State of California governing said property. 3-26w81 � DATE SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. 'y I SPACE N0. 92253 i USE OF STRUCTURE �� >_ JOB ADDRESS f, 6` /� -IE FAMILY DUPLEX ED 72'k -I �- Q4 Z F LE AL DESCRIPTION P OPERTY _ /S' I� APARTMENTS AGRIC. f...- SCV L a Q• l o U. H N . �C ,f QIIrjtA COMMERCIAL INDUSTRIAL L, j � G COMMUNITY NO. OF SUBMITTED PLANS �_ USE OF PERMIT DW +' LING & ATT, GARAGE ALTERATIONS n Z Q CASE NO. _ O p Z NO. OF PARKING SPACES REQUIRED _ NO. OF BUILDINGS NOW EXISTING �' a ZONE SETBACKS: FRONT w-6 SIDE - REAR ` m GRADING PERMIT REQUIRED? YES ❑ NA ❑ LOT SIZE,' SETBACK (� t t!ff # _— OF FEET REQUIRED ON --!� STREET - �r bb��OO,Jj,, � � DATE — SIGNATURE OF LAND USE OFFICIAL F, DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET--' ;L'C zCURB AND GUTTER REQUIRED: YES El NO C]�� �7,'- EET F- °`/34 CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROV�MF;NT? YES &?'NO ❑ / of DATE Z SIGNATURE OF ROAD DEPT. OFFICIAL l' aW SEWAGE DISPOSALWTkAk . 1,05D Kfk-w", sabPT< A%C QiT WATER POLLUTION REMARKS �n FLOOD CONTROL Fx AIR POLLUTION W DIV OF HWY o a — YOUR PROPERTY MAY BE SUBJECT TO s o FLOOD. RIVERSIDE COUNTY ASSUMES rt NO RESPONSIBILITY IN EVENT OF FLOOD. DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE' •' APPLICATION CERTIFICATE PERMIT N 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: - CJ 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 licenses in full force and effect. License Class License No. _535— 7 Date 7— / --C—T" Contractor ,4Z75 49 -AJ Q OWNER -BUILDER DECLARATION I hereby affirm that I am.exempt from the Contractor's License Law for the following reasons: Q 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 r, 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.). [::] 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. 75 OInsurance��-?��s•-- Q Certified copy is hereby furnished. E3 Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant 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. 3097, Civ. Code). Lender's Name Lender's Address DIVISION OF INDUSTRIAL`SAFETY PERMIT CERTIFICATION 1J 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 i6 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 Riverside, Department of Building and Safety to enter upon the pro- perty fo which I have applied for this permit for the purpose of making inspections. Signature of/ApplicantJ gent 'Date r -nt'Appl'i cant/Agent Name qna_?nnn jinn 284-141 Rev. 6/77 BUILDING PERMIT PERMIT No. DEPARTMENT OF BUILDING & SAFETY 269RB 0426915 COUNTY OF RIVERSIDE FIELD OFFICE 74ST, CONSTRUCTION ESTIMATE Job AdAVENIDA NO. ELECTRICAL FEES NO. PLUMBING FEES 1426915 IST FL. 1 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ 23337.-4'S- D.A.N HORN UNITS Community Valuation Date Dist. Off. F.C.C. SQ. FT. @ YARD SPKLR SYSTEM $ SQ. FT. @ MOBILEHOME SVC. BAR SINK E 33712.21 Pis-�30-'E?i Sq, FT, @ 7 • 01f) • 0 POWER OUTLET ROOF DRAINS Micro Film Fee SQ, FT. @ DRAINAGE PIPING Use SQ. FT. @ DRINKING FOUNTAIN No. v URINAL SQ. FT. @910 '43,1 No. VALUATION $ • 2K/ WATER PIPING 2,30 Mech. Fee NOTE: Not to be used as property tax valuation / g� ttof�Permit (�fi GARAGE WLG & A A .1 G ARAGG SWIM POOL, PVT /�q ry,/� �+ ( (� 1 iTi.LYJYl�-6 FLOOR DRAIN BS MECHANICAL FEES $ SWIM POOL, COMM WATER SOFTENER Lot Size 050 100 00 0 v w 2 1100 Construction Fee Dbl E Legal Description VENT SYSTEM FAN EVAP. COOL 1 HOOD 300 SIGN Electrical Fee WASHER (AUTO)(DISH) 500 APPLIANCE DRYER 1 3PO Type 1 GARBAGE DISPOSAL 250 FURNACE UNIT WALL FLOOR SUSPENDED R i 11"3 LAUNDRY TRAY Plumbing Fee Dbl $ AIR HANDLING UNIT CFM Plan No.Plan IDLE METER 1 KITCHEN SINK 250 ABSORPTION SYSTEM B.T.U. Sp. Insp. Fee TEMP USE PERMIT SVC $ WATER CLOSET COMPRESSOR HP ` POLE,TEMP/PERM LAVATORY E Const. Lender Branch - HEATING SYSTEM FORCED GRAVITY SSu�pypll�iimental�yP+�ermit Numbers AMPERES SERV ENT Registr. Fee 1 SHOWER 2 50 BOILER B.T.U. SQ. FT. @ C Witness Fee 1 BATHTUB 250 SQ. FT. @ c $ 1 WATER HEATER 2-50 Tel. Zip 12 11 SQ. FT. RESID @l t/ c 1514 1 SEWAGE DISPOSAL 1050 Total Fees $ 2 SQ. FT. GAR @ M, c 0 HOUSE SEWER Zip s n BOX 1638 PALM DESERT GAS PIPING Cash Check .O • PERMIT FEE . PERMIT FEE 3130 PERMIT FEE 4 o DBL. TOTAL FEES 322.68 MOB. HM. FEE MICRO FEE MECH. FEE 20.50 PL. CK.' FEE 8.78 CONST. FEE 211.00 ELECT. FEE 25.5t SMI FEE _ 2..36 FEE PLUMB. FEE . 44.5 PERMIT NO. Job AdAVENIDA Space Owner 22253 1426915 MONTEZUM,A D.A.N HORN Community Valuation Date Dist. Off. F.C.C. MH.Permit Fee $ A �UiNTA E 33712.21 Pis-�30-'E?i 11. 5 0451 Micro Film Fee Cop $ Use No. Use/Case No. Ck. By Mech. Fee Dbl E / g� ttof�Permit (�fi GARAGE WLG & A A .1 G ARAGG �Pyarrccjel /�q ry,/� �+ ( (� 1 iTi.LYJYl�-6 BS PI. Ck. Fee $ Set Backs Lot Size 050 100 00 0 v w 2 1100 Construction Fee Dbl E Legal Description 020 005 005 010 Electrical Fee Dbl E 255ROT r u 15 BL 195 S C t�r LAQ#19 Zone Restrictions Group Type SMI Fee $ R i 11"3 Plumbing Fee Dbl $ Bond Amt. Plan No.Plan Checker Final Dote Insp for Unit Sp. Insp. Fee $ $ �a ` Demol. Fee E Const. Lender Branch - SSu�pypll�iimental�yP+�ermit Numbers Registr. Fee $ RB1N�2 U� Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip AN HORN 568-104:8 Total Fees $ 2 Address City Zip s n BOX 1638 PALM DESERT M.O. Cash Check .O • . Receive Contractor Tel. LicenseN Trees re / Sewage System Address City Zip T LL P Sewer District Form 284-208 (Re,8/78) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK t-verifiecl by: 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 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.