CPWU (413211)52313 Avenida Madero
413211
DVILY1194,7 rCKM11
PERMIT No, DEPARTMENT OF BUILDING & SAFETY
4132 1 1 COUNTY OF RIVERSIDE FIELD /f.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
2ND. FL. 50. FT. @
FOR. SO. FT. @
GAR. SO. FT. @
CAR P. SO. FT. @'
WALL SO. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
v
Dote
` -^ 1 d'
a
MECHANICAL FEES
SWIM POOL', COMM
WATER SOFTENER
MH Permit Fee S
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
Parcel No. '•f
GARBAGE DISPOSAL
By
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
'Set. Backs
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
Legal Description +' : '"
} /'r ✓
HEATING SYSTEM FORCED + GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U..
SO. FT. @ 4
BATH TUB
Electrical Fee Dbl $
SO. FT. @ c
WATER HEATER
Zone Restrictions
sf'. j .....• /
Group
50. FT. RESID @ 1 t/ae
SEWAGE DISPOSAL
S0. FT. GAR (7o s/ort
HOUSE SEWER
!-
's
GAS PIPING
"f
PERMIT FEE
PERMIT FEE
PERMIT FEE
7 —1110
DBL.
TOTAL
FFEEEESS
MOB. HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
I CONST. FEE ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
PERMIT NO.
413211
–'Job
Address —--–---------.—--'– --'Space
.
Zip
r
Community !t
'Z ` --R' ,!i/
Valuation
$
v
Dote
` -^ 1 d'
a
Dist.
//
Off..
_/
"TT' Ck.
F.C.C.
MH Permit Fee S
Micro Film Fee Cop $
Use of Permit ♦
Parcel No. '•f
Use/Cosa No.
By
Mech. Fee Obl
Pl. Ck. Fee $
'Set. Backs
Lot Sice
Construction Fee Dbl $
Legal Description +' : '"
} /'r ✓
F
S S R
Electrical Fee Dbl $
Z , / r' .':jr t` . J T
' A
Zone Restrictions
sf'. j .....• /
Group
Type
SMI feeS
!-
's
Plumbing Fee Dist S
,
f _
,Bond Amt.
$
Plan No.Plan
Checker
FinalDote Q
`' V
Inspector
Unit
Sp. Insp. Fee $
s
Demol. Fee $
Const. Lender Branch
Supplimental-Permit Numbers '
p
'
Registr. Fee S
Mileage Fee S
Address d`•'. City ' Zip
z 5,''—, /f
,,..++
!'
Witness Fee $
Reinsp. fee $
Owner/Agent ' y .!•r-" f -`"
Tel. Zi
Total Fees $
4
5/
Address
% ..L dl ' •si r•.
Zip
/9-117
M.O.It
N.C. Cash '• Check
Received by •r.
Contractor
Tel.
Licensell
Trees required
Sewage System
! f
M
Address
.
City Zip
t'
T LL
Is
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.
Sewer District
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
E LAWS OF'RIVERSIDE COUNTY AND -THE STATE OF CALIFORNIA.
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Re, 1/80) ' .
ACCORDANCE WITH SECTION 5541. OF THE BUSINESS. AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. \
NO.
.r• OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs & 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
10A
Fireplace T. 0.
°o
ADDITIONAL INFORMATION ,
t
t
.
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath i
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
Z ^
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 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
OWNER -BUILDER INFORMATION
Dear Property
An application for a building permit has been submitted in your name listing yourself as the builder
of the property i.mpro:vements ;spec^i,fted.-,-t
For your protection you should be aware that as owner -builder you are the responsible party of re-
cord on such a permit. Build-ing permits are not required to be signed by property owners unless
they are personal ly-performing their •own -work. --If your work -is-bei ng -performed-by--someone,-other
than yourself, you -may -protect yourself from-possible-1iabi-lity-if- that-person-appl-ies-.for.the.pro-
per permi t i n hi s -or -her.-name.
Contractors are required by law-to_be. licensed and bonded-bythe State California and, where
required, to have -a business, license from the city. or county. They are a-ls6,requred byelaw_ to put
their license number on all permits for which they apply
If you plan to do your own work, with the exception of various trades that you plan to subcontract,
you should be aware'of the following information* fo_ your benefit and protection._t
If you employ or.otherwise•engage any persons other'-thah your immediate family, and the work
(including materials and other costs) is. $200 or -more Afor ,the -enti re- proj,ect,.:and,1such ,persons are
not licensed as contractors or subcontractors, then you may be an employer.
If you are an emp.loyer;•you'must register with -the state and federal government'a's--an-emp-loyer and
you are subject to,s,everal obligations including state and -federal .income -.tax -withholding; -federal
social security taxes, workers' compensation insurance, disability insurance costs, and unemploy-
ment compensation contributions.
There may be f n a n c i al" ri's ks `for you i f `you'do- not} carry° out- these obl i giti ons ►andtihe'se :ri s ks are
especially serious with respect to workers' compensation insurance.4 It
__.._
For more specific'information about .your obligations under federal -'law, contact the Internal_Revenue
Service (and, if,you,wish, the U.S. Small Business Administration): For more specific information
about your obligations under state law, contact the Department of Benefit Payments and the Division
of Industrial Accidents-)-,,
• '.: tit. -, bLoi ..ocG.
If the structure is intended for sale,.property owners who are not licensed contractors are allowed
to perform their work.personally.or•through their own employees, without a licensed contractor or
subcontractor, only under.'lirriited conditions.-
.. J . .--. ... , .` -1 ''..t:i ' ,'til. ✓l. t; i+ ;t ;,g,,. a j ya:F1
A frequent practice of unlicensed persons professing to be contractors is to secure an,"owner--
builder" building permit; erroneously implying that,the•property=owne'r-is•provi'ding his or her own
labor and material ipersonally. ` Buildin§Gp&nits, are' -not required to. be;signed,by,.,property owners
unless they are performing their own work personally.
Informationj.about l.i:censedcontractors maybe-obtained. by ,contacting; the Contractors!, State, License
Board tngppracommuntty-or;at*1.020 ,N Street,. Sacra_mento,,.California,,958;14.
p'tCt'fi 1.i!'',r k• ri<;y ti>£. ar' t : C .fit+ ,` 1; i '.'G 'a;!'v r, 't ;7LGnJGG,: 3f IWIL
Please complete and return the enclosed owner builder verification form so that we can confirm that
you are -aware of,,these,matters. The building permit will not be issued until the verification is
sr..
returned.. r
p:`h
Sincerely_,
DEPARTMENT OF BUILDING AND SAFETY
KA
04%_._
Leopoldo Rojo, Jr. ,.
Director
284-2001,11 7/80
Address -
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
OWNER -BUILDER VERIFICATION
.An."owner-builder" building permit has been applied for in your name and bearing
your signature'.
Please complete and return this information in the envelope prov'ided`atyour•
earliest opportunity to avoid unnecessary delay i,n processing and issuing your
building permit. No building permit will be issued until this verification is.,
received.
1. I personally plan to provide the major labor and materials for con-
struction of the proposed property improvement (s;or no) ✓F- r
..
2. I (have/have not) fiF— C - signed an application for building permit
for the proposed work.
3. I have contracted with the following person (firm)''to provide the pro-
posed construction:
Name .Phone.
Address City
Contractors License No.
4. I plan to provide portions of the work, but I have'hired th'e following'
person to coordinate, supervise, and provide the major work:
Name Phone
Address City
Contractors License No.
5. I will provide some of the work but I have contracted'(hired) the fol
~• lowing persons to provide the work indicated: -
Name Address • Phone Type of work
Si'.g•nature:P,roperty,FOwner Date '
Social Security Number
284-2002 7/80
i..i>i'•'.... .. plc .'x... ..° % `. _:
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
1 DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT —
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner A _141 41il Architect —. —_—_ Contractor---..— _
Address Li%. fCY Address--- Address-- -
City Z:- 4 A City-- City----—
Ph4onePhone _ Phone—
W
I (we) the undersigned, hereby certify and acknowledge that I (we) have rea 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 Riversi , the Riverside County Department of Building and Safety
3
shall not make a Final Inspection until said requirements have been m I also are 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 proper nd will not cause said property a occupied until I (we) have
complied with all laws of the Countv of Riverside and the State of Horn, governing said property
DATE ______— SIGNATURE OF OWNER AND/OR AGENT _
Approval by Signature from the Following Departments Liste B low
Must Be Obtained Prior to the Issuing of a Construction Perm .
/ I SPACE N O.
Ol Q J j 1 USE OF STRUCTURE
JOB ADDRESS(✓ _ SINGLE FAMILY DUPLEX
DESCRIPTION OF PERTY__
/ZF.
o
4LEL—A /
—'—"'`--APARTMENTS AGRIC.
dL ! -44
u.
. A
i-Ummt CIAL INDUSTRIAL n.
C `n
COMMUNITY .
ALT RATIONS O
Z
NO. OF SUBMITTED PLANS --_ USE OF PERMIT _
I Q
CASE NO.
_ _
C Z
NO. OF P RKING SPACES REQUIRED _— — NO. OF BUILDINGS NOW EXISTING
Z
ZON — ETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINNAN CE. # OF FEET REQUIRED ON — STREET
DATE SIGNATURE OF LAND USE OFFICI -
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET
cece
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET'
Q
IMPROVEMENT? YES ❑ NO ❑
O
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
S
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
FLOOD CONTROL
H
W AIR POLLUTION
_ DIV OF HWY
t -
c a — YOUR PROPERTY MAY BE SUBJECT TO .
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
wmr;n1 r: DFDAAIT -
-
' PERMIT NO.
413211
T4
PERMIT NO.
413 211
a
DEPARTMENT OF BUILDING, &. SAFETY
COUNTY OF RIVERSIDE
FIELD OFFICE ;
•
'
Dsr;•
CONSTRUCTION ESTIMATE
< NO. ELECTRICAL FEES
NO: PLUMBING FEES'
_
` 1ST FL. "
2ND. FL.
POR.
GAR.
•
CAR P.
•
WALL
ESTIMATED CONSTRUCTION
SQ. FT. @ $
1
UNITS
O171'.'''
/.
F.C.C.
SQ. FT. @ YARD SPKLR SYSTEM
'
SO. FT. @ MOBILEHOME SVC. BAR SINK •`
SQ. FT. a @ POWER OUTLET ROOF DRAINS.`
SQ. FT. i , s F . DRAINAGE PIPING.
.@
Use/Case No.
r DRINKING FOUNTAIN
.@
SO.FT.
Mach. Fee Dbl s
SQ. FT.@ URINAL "
-
Set Backs
VALUATION $ 4 - WATER PIPING
NOTE: Not to be used as property tax valuation ` .
SWIM POOL; PVT
FLOOR DRAIN
F • S - S.
MECHANICAL FEES
SWIM POOL, -COMM
WATER' SOFTENER
Group -
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Dbl $
APPLIANCE DRYER
-
^ GARBAGE DISPOSAL
ker
FURNACE UNIT WALL FLOOR -SUSPENDED
,
LAUNDRY TRAY
Unit ' t
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
, TEMP USE PERMIT SVC
WATER CLOSET
4
, a
COMPRESSOR HP
POLE, TEMP/PERM
j LAVATORY
x
Witness Fee g
HEATING SYSTEMFORCED I GRAVITY
(AMPERES SERV -ENT - "
•SHOWER
Owner/Agent ' •"' ``^` `"•"`
4, C r . J
BOILER B.T.U.
SQ. FT. @ a T
BATH TUB
Total Fees
_ - S,4
SQ. FT. @ '• a
WATER HEATER
City
6— Y e GI llj/ " ` 4 `•,/ !
•
_ S0. FT. RESID @ 1 Yea
' SEWAGE DISPOSAL
SO? FT. GAR @ 3/aa
HOUSE SEWER
Tel.
LicensaP '
Trees required
Sewage. System
GAS PIPING
S`..,,:
PERMIT FEE
s
PERMIT FEE .:
PERMIT FEE
DBL.
TOTA . FEE$
.F„ C/
MOB. HM. FEE
MICRO FEE
MECH., FEE, i PL. CK. FEE
CONST. FEE ' ELECT. FEE
SMI FEE
FEE
PLUMB. FEE
-
' PERMIT NO.
413211
T4
Job Address
•^• •ems ^"' ,
'/] _wJ ✓
Space
Zip
C G.j
O r
Q /
J R-af L -.Q
Community'
-
Valuation •
$
Date
' l • 1 % - 6 p
c /a^
Dist.
O171'.'''
/.
F.C.C.
MH Permit Fee $V
Micro Film Fee 's^
Cop S
Use of Permit - yy
-
Parcel No.
// ,/ 99"1 / '".C ,
Use/Case No.
Ck. B
Y, • ` .
Mach. Fee Dbl s
Pl. Ck. Fee $
Set Backs
Lot Size
Construction Fee Dist $
Legal Descriptio
g
' - ;1T+
, s •4•i xf .
V
F • S - S.
R
Ele<tAcol Fee Dbl $
Zone Restrictions v
Group -
Type
SMI Fee 3 1l
t
Plumbing Fee
Dbl $
and Amt.
$
Plan No. 7r7
ker
,Final
Dote
• / ,ctu
Ingpan
Unit ' t
Sp. Insp. Fee $
Demol. Fee
T $
Const. Lender ,' Branch -
,
,
Supplimentol Permit Numbers -
•.
4
, a
Registr. Fee $
Mileage Fee $
Address -' City _ Zip
a / / '°-^•• .: C /)
Witness Fee g
iRainsp. Fee
$
Owner/Agent ' •"' ``^` `"•"`
4, C r . J
Tel
i
Zip
Total Fees
_ - S,4
Addressl7 -
rry-e ! i
/ l 8G^r i . f % u/' .oJ `r
City
6— Y e GI llj/ " ` 4 `•,/ !
Zip
..
' M.O. Q N.C. Cash Check
Received by
Contractor
Tel.
LicensaP '
Trees required
Sewage. System
Address ..
s
City s Zip
`
T LL P C THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN. 120 DAYS. CESSATION OF WORK • v.d ied by:
r FOR 120
Sewer District DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
+ r • I HEREBY AGREE THAT ALL,WORK` IN CQNNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
'T E LAWS OF RIVERSIDE COUNTY•AND THE STATE OF CALIFORNIA. , 1
CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN,
Form 284.208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. .t