SFD (404457)77310 Calle Madrid
404457
BUILDING PERMIT
PERMIT NO.
404457
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
WO taar%.-.AC 7
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FIELD
rill
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND. FL.
FOR.
GAR. M
CAR P. ,-
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $ ^"
UNITS
Community
T.A FS
SQ. FT. @
YARD SPKLR SYSTEM
SO. FT. @ A MOBILEHOME SVC.
BAR SINK
SQ. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SQ. FT. @ -
DRINKING FOUNTAIN ,
SO. FT. @
URINAL
VALUATION $ 3 2
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
VENT SYSTEM FAN EVAP. COOL HOOD ego
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
1D I
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET fa 12
COMPRESSOR HP r•
POLE, TEMP/PERM
LAVATORY y
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
-
SQ. FT. @ a
WATER HEATER
$p, Insp. Fee $
0. FT. RESID @ 1 t/aa
SEWAGE DISPOSAL
SO. FT. GAR @ 3/aa
HOUSE SEWER
GAS PIPING ^
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBI.
TOTAL FEES
nX rQ
MOB. HM. FEE
MICRO FEE MEC FE
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Pl. CK. FEE
CONST. FEE EIEC ..
E SMI FEE
FEE PLUMB'." E
PERMIT NO.
1-4044571P
Job Address 77
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Space I Zip Owner
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Community
T.A FS
Valuation
to
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MH Permit Fee $
Micro Film Fee Cop S
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DVELL I, G AGiND ATT • GARAGE
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Mach. Fee Obl 8 r
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Construction Fee Dbl Segal
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Zone astrictions
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Electrical Fee Dbl S
SMI Fee $
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Plumbing Fee Obl $
Bond Amt.
Plan No.
Plan Checker
FinoMet. VInspect
Unit '
3 -14-9t
$p, Insp. Fee $
$
Demol. Fee $
Const. Lender
Branch
Supplimentol Permit Numbers
457
/
Registr. Fee $
Mileage Fee $
Address ityZip
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t Witness Fee $
Reinsp. Fee $
Agent `
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Tel.
Zip
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Total F s $
Address
City
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Zip
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M. C. Cosh E] Check [)C
Received byw r
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Tees required %
SewageSyste )61
AddressCity
Zip
T Lt P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified byr•
Sewer District \a 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
' s
I HEREBY CERTIFY THAT THE .INOOIDNd vJTO PREPARED. THE PLANS AND SPECIFICATJONS HAS DONE SO IN
Form 284-208 (Rev .f1/80`i `' ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
NO.
OPERATION
DATE
---f---
INSPECTOR
NO.
OPERATION
DATE
,
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System 9
2
Ftgs 8 Frms
/ Ib
34
Plenums 8 Ducts
2A
Slab Grade
..
l
35
—
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air 3- Z
5
Bond Beams
38
Compressor
6
Roof Deck
Z ^ 1
39
Appl. Clearance
7
Framing
40
Fire Damper
8
9
Vents
Garage Fire Wall
-W 11
3 _? 3
✓ (i _ O I
-
41
42
Smoke Detection Device
Commercial Hood
10
Fireplace P.L.
43
Final
C
10A
Fireplace T.O.
(]
°o ADDITIONAL INFORMATION
/- / -8"l, sus • moue 90 C
SEWAGE SYSTEM SIZE 8t LOCATION
11 Exterior Lath
12 Internal Lath
,. A
12A Drywall
13 Finish Grade u _Q
INSULATION
Thick
Value
7A Walls (Batts)
31,
l i'
12B Ceiling (Batts)
CJ
12C Ceiling (Blown)
14 Final 3—Z4-9'
PLUMBING APPROVALS -
15 Ground Plumb
v
16 Water Piping
17 Rough'Plumb IP
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater _-Z4 Cl
L=0
22 Water Softener
23 Water Service
24 Gas Test v
25
Final
`3 _ z _g1
Tank 16200 Pit (l k- -4 L. Line
REAR OF PROPERTY LINE '.
ELECTRICAL APPROVALS
P/L
9A 2
i
f8 P/
26 Power Pole
27 Conduit
•
28 Service Entrance
0 fifidL4
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
g COUNTY OF RIVERSIDE
W'_
r
DISTRICT
Permit No
284 199 9/74 . CANARY—FILE, PINK—APPLICANT
m /t:J
' =1711"--'77177e
Owner le- Z., Architect /"/ !%e%:'y-V' bdractor
/
Addres
City L s 's✓.✓J C i. City` city -
Phone - 7 9` / Co Phone 21 Gr S Phone 7/ l
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(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
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shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be d e within the -County R/W
without an encroachment permit.
NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said proper to oco pG (we) ve
complied with all laws of the Cou ty of Riverside and the State of California governing said property.
/Z;unt'
-=
DATE SIGNATURE OF OWNER AND/OR AGE
- Approval by Signature from the Following Departments Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
92253 1 SPACE NO.
I USE OF STRUCTURE
JOB ADDRESS 77-310 Calle Madrid I
>_
- SINGLE FAMILY DUPLEX El
LEGAL DESCRIPTION OF PROPERTY 774-201-012
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OIL
APARTMENTS AGRIC.
lot 13, block 255. SCV TA Q. I#24
H
COMMERCIAL INDUSTRIAL L]
COMMUNITY . LA UTA
D °
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N0. OF SUBMITTED PLANS- USE OF PERMIT DWF+LLINCi & ATT; OAM 7CE ALTERATIONS
—_
CASE N= N
n Z
NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --
Q
ZONE R-1. SETBACKS: FRONT ;2-10 SIDE REAR Z
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GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # ___ OF FEET REQUIRED ON / STREET
DATE —22 90 SIGNATURE OF LAND USE OFFICIAL _
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___ --
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ < < c r "✓4 f STREET
t-
ot
s
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
°
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DR4EWAIY AND STREET
IMPROVEMENT? YES 6 --go- ❑ O
O°
DATE _z SIGNATURE OF ROAD DEPT. OFFICIA
!
SWIMMING POOLS PUBLIC]1
J'11 20 y /'
W
SEWAGE DISPOSAL be GoorK J9 _ Lori 2
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
n FLOOD CONTROL—
z AIR POLLUTION
= F DIV OF HWY
o a — YOUR PROPERTY MAY BE SUBJECT TO
d
o FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199 9/74 . CANARY—FILE, PINK—APPLICANT
DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE
COUNTY OF RIVERSIDE PERMIT N
Effective July 1, 1980, Chapter 1301, Section 19825,of the NRilth 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:- ,
C J LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9'(commencing with Section 7000) of
Division 3 of the Bustness and Professions Code and my license is in full force and e .f ct.
License Class, /% / License o.
Date t ✓! 5 ., Contractor// _ r? _
0 OWNER -BUILDER DECL F ON'
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.).
[ ] I am exempt under Section , B.&P.C. for this reason:
Date Owner
M WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Workers'
Compensation Insurance, oac+ertified copy thereof'(Sec. 3800, Lab. Code).
Policy No. S s J'b-ti Insurance
Q Certified copy is hereby furnished. Z
Certified copy is filed with the County of`R-1 rside, Department__of uildiing and Safety.
Date { '1 1 •7 - Applicant
__
0 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
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.)
0 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
CERT FICATE OF COMPLA`ANCE AND OF ENTRY
I certify I have read t,, application and s tate tha he information given is correct. I agree to
comply with yl' sta Lbws and county/rdin nces' rrdFlating to building construction, and authorize a
representa'ii,veAof-th'e County of,Rii-verside,, Deparipent of Building and Safety to enter upon the pro-
perty for which I have applA-ed for th4s 60 mit for the purpose of making inspections .
, . '/
ign / "re of pp icant/ gent L t Date
Print Applicant/Agent Name
284-2000 7/80
OVFLulrvv r'CKMII
PERMIT NO. ..
40445.711111 MA&AA,
*
CONSTRUCTIM ESTIMATE
1ST FL. 'SQ. FT. @ $
2ND. FL SQ. FT. @
POR. SQ. FT. @
GAR. SQ. FT. @
•
CAR P. SQ. FT. @
WALL SQ. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION- $
NOTE: Not to be used as property tax valuation
'MECHANICAL FEES
VENT SYSTEM FAN EVAP. COOL HOOD
w APPLIANCE DRYER
FURNACE UNIT WALL FLOOR SUSPENE
AIR HANDLING UNIT CFM
ABSORPTION SYSTEM B.T.U.
COMPRESSOR HP
HEATING SYSTEM FORCED GRAVITY
BOILER B.T.U.
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
NO. ELECTRICAL FEES
UNITS
a
- 2880 MOBILEHOME SVC.
• _ POWER OUTLET
SWIM POOL, PVT
SWIM POOL, COMM
SIGN'
IDLE METER
TEMP USE PERMIT SVC
POLE, TEMP/PERM
AMPERES SERV ENT
SQ. FT. . @ a
SQ. FT. @ a
S0. FT. RESID @ 1 t%a
. S0. FT. GAR @ 3/<a
' vv
PERMIT FEE PERMIT FEE
DBI. TOTAL FEES MOB. HM. FEEMICRO FEE MEC PL. CK. FEE CONST. FEE
a46.•
FIELD OFFICE
NO. PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL `
WATER PIPING
FLOOR DRAIN
WATER SOFTENER,
WASHER (AUTO)(DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY
SHOWER
BATH TUB
WATER HEATER
SEWAGE DISPOSAL
HOUSE SEWER
GAS PIPING
PERMIT FEE
SMI FEE FEE i
Ds
PERMIT NO.
_
Job AddressSpace
ryry
F T 310
Zip Owner
'
4 0 4 4
5 7
Common MADRID
;022A X
y
r ii ntur$n
Valuation
t. Off. F.C.C.
45 u
MH Permit Fee $
Micro Film Fee
Cop 3
s of it
DWELLING AND
--
ATT • GARAGE,
c . • c/Gose `N Tk.
?742010 as
h. e Dbl 3
PI. Ck. F
Pl. Ck.FFee
S
- - c Lor Size
Construction Fee
Dbl 3
escAp •+
F S S R
Electrical Fee
Dbl $'
13
rictionP V J6 M GroF6 4 w yj e too 000
LOT 13 .BLK 255 SGYLQ'. #24.
SMI Fee
$
Plumbing Fee
Dbl $
Bond Amt.
Plan No.
-
Plan Checker-
ate
Inspector
Um
LSp. Insp. Fee
3 /
S
V {
[ —C/
Demol. Fee
3
Const. Lender, -
0027.
Branch
11
Supplimentol Permit Numbers .
$404457
Registr. Fee $
Address ,/ry' ity Zip
Mleage Fee
$
G' J
I
411
,RB
Witness Fee $
t
Reinsp. Fee'
$
9,nt(r'
t
CON STR
Tel. - Zip
..
Total'es
S
res
y Zip
A. I N.C.
in Cash Q Check
'
Received by
ant c r -
N License# `
Trees required
'
Sewage SSyyssteem /'\
Address
City Zip
VT LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION,OF WORK verified by:
ciFOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
w
Seer Dstrict '
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILLBEDONE IN ACCORDANCE WITH Ps .,...
THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.
- . I HEREBY CERTIFY THAT THE INDI (IDUAL WHO PREPARED'THE PLANS AND SPECIFICATIONS HAS DONE. SO IN,(
Form 284.208 (Rev. 1/B ,ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE -OF CALIFORNIA.