Loading...
PLBG (403179)54490 Avenida Madero 403179 BU1LU11VG rtKMlt PERMIT NO. 4 0 317 9 PERMIT NO. 1403179 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE Owner , . f r . r,, e, T - FIELD V21 uc>,tionDote E Irl i ♦,,. "'-- DST / CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. FOR. GAR. CAR P. WALL .,"'`,.. :1 '.-_•.:+ ' ".T«.. ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Parcel No. .^ ..I• Use/Case No. Ck. By %.t, ! SO. FT. @ YARD SPKLR SYSTEM s SO. FT. @ MOBILEHOME SVC. BAR SINK Lot Size SO. FT. @ POWER OUTLET ROOF DRAINS Legal Description /r _ ;^ - f/ r , Jr c`(j 'e SO. FT. @ DRAINAGE PIPING S S SO. FT. @ DRINKING FOUNTAIN Electrical Fee Dbl S •> ' SO. FT. @ URINAL Group VALUATION $ WATER PIPING SMI Fee $ NOTE: Not to be used as property tax valuation SWIM POOL, PVT Plan No. FLOOR DRAIN Final Dote i - ` O MECHANICAL FEES SWIM POOL, COMM Sp. Insp. Fee S WATER SOFTENER 1 VENT SYSTEM FAN EVAP. COOL HOOD SIGN Mileoge Fee S WASHER (AUTO)(DISH) y (Jitness Fee S APPLIANCE DRYER Oyner/Agent y. .r/ y ..c1 r ' r,L C r f ` f ✓,fir , . , . ' Te(, .` Zip r' C.c — _ _ j_ GARBAGE DISPOSAL :Totol Fees $ rj, FURNACE UNIT WALL FLOOR SUSPENDED City Zip M.O. [] N.C. Cosh Checks _ LAUNDRY TRAY Contractor AIR HANDLING UNIT CFM IDLE METER Trees req 4!e •-^"- KITCHEN SINK Address ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ a BATH TUB SO. FT. @ a WATER HEATER {^; S0. FT. RESID @ 1 114 4, SEWAGE DISPOSAL S0. FT. GAR @ t/.a HOUSE SEWER GAS PIPING a. PERMIT FEE PERMIT FEE :.✓ i_. ' PERMIT FEE DBL.TOTAL FEES, MOB. HM. FEE MICRO -FEE MECH. FEE PL. CK. FEE I CONST. FEE J)ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 4 0 317 9 lob Address Space . 4-.. f._ Zip - . — Owner , . f r . r,, e, T - Community r ~ s J_ f.a-', f i V21 uc>,tionDote E Irl i ♦,,. "'-- Cj , - Dist. ! Off. ..r F.C.C. MH Permit Fee E Micro Film Fee Cop S Use of Permit "' (• A• r « Parcel No. .^ ..I• Use/Case No. Ck. By %.t, ! Mech. Fee Dbl S PI. Ck. Fee b Set Socksr Lot Size Construction fee Dbl $ Legal Description /r _ ;^ - f/ r , Jr c`(j 'e F S S R Electrical Fee Dbl S •> ' Restrictions Group Type SMI Fee $ Plumbing Fee Dbl S / y s•• Bond Amt. S Plan No. Pton Checker Final Dote i - ` O Inspector Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Branch Supplimentol Permit N m f Registr. Fee $ Mileoge Fee S Address ^ l City Zip y J r r y (Jitness Fee S ,Reinsp. Fee .. S Oyner/Agent y. .r/ y ..c1 r ' r,L C r f ` f ✓,fir , . , . ' Te(, .` Zip r' C.c — _ _ j_ 'r :Totol Fees $ rj, Address City Zip M.O. [] N.C. Cosh Checks _ Received by _ ,,,'r Contractor Tel. Licensee - .. Trees req 4!e •-^"- Sewage System Address City Zip T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. i r I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH sTTHE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. y°J'Hf,REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN, , Form 28d-208 (Rev. 1/80) 6' ' v/jFjCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.:.; ,. ^4 . NO. 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. Ej 43 Final 10A Fireplace T.O. No ADDITIONAL INFORMATION : SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 Ceiling (Botts) 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 1 25 Final Tank Pit L. Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L P/ 1 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring c 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME i 0 y DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner -builder you are the responsible party of re- cord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the pro- per permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and, where required, to have a business license from the city or county. They are also required_by law 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 awa're'of the following information for your benefit and protection. ' If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and -other costs) is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several 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 financial risks for you if you do not carry out these obligations, and these risks are especially serious,with respect to workers' compensation insurance. 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. 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 limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner - builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to'be signed by property owners unless they are performing their own work personally. Information'about licensed contractors may be obtained by contacting the Contractors' State License Board in-your.•community or at 1020 N Street, Sacramento, California 95814. 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 returned. Sincerely,r DEPARTMENT'OF BUILDING,AND SAFETY , Leopoldo Rojo, Jr. ' Director " 284-2001 7/80 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER VERIFICATIONF f^.. • f! ,I _ 71 1 t53 , '-' %-4 ►9f; l 10 Address 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 provided at your earliest opportunity to avoid unnecessary delay in 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 (yeses or no) zJ 2. I (ave/have not) {1 signed an application for buildingg 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 the fol -lowing 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 Signature Pr6perty Owner Date F ` Social Security Number 284-2002 7/80 i NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE n DISTRICT Permit No @ 199 9/74 r CANARY—FILE, PINK—APPLICANT Own e ct Contractor CAE Addres Address Address_ City City City_ Phone ` Phone Phone 01W 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 DATE SIGNATURE OF OWNER AND/OR AGENT ! _4vli 4k ►! Approval by Signature from the Following Departments Liste Below Must Be Obtained Prior to the Issuing of a Construction Permit. ISPACE NO. I USE OF STRUCTURE JOB ADDRESS - /9n 4/0-A95064e I _ SINGLE FAMILY DUPLEX El >. Z //'. LEGAL DESCRIP ION OF PROPERTY (/ APARTMENTS AGRIC. ❑ ® U. T/ VI/A/ z/ ✓ G L ( aLf Q , INDUSTRIAL COMMERCIAL CJ N COMMUNITY ® C z ALTERATIONS n NO. OF SUBMITTED PLANS --_—_ USE OF PERMIT w- T CASE NO. ® Z NO. OF PARKING SPACES REQUIRED N0. OF BUILDINGS NOY EXISTING R ZONEA ETBAC'KS: FRONT - —SIDE REAR of m GRADING PERMIT REQUIRED? YES `J NO ❑ LOT SIZE SETBACK OR INA CE _— OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIA ___ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___ iCURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET H o CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D IMPROVEMENT? YES ❑ NO ❑ °L DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL SWIMMING POOLS PUBLIC.' WSEWAGE DISPOSAL FOOD ESTABLISHMENT WATER POLLUTION REMARKS n FLOOD CONTROL AIR POLLUTION °Y z DIV OF HWY oa — YOUR PROPERTY MAY BE SUBJECT TO o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. @ 199 9/74 r CANARY—FILE, PINK—APPLICANT C DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT # _ 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. 0 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 License No. Date Contractor 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 improve for the purpose of sale (Sec. 7031.5, B.&P.C.). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). [:J 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. Insurance 0 Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant a 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 permi t 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 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.) 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-` 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, f -6r which I have applied for this permit for the purpose of making inspections Signature of Applicant/Agent Date Print Applicant/Agent Name 284-2000 7/80 BUILDING PERMIT PERMIT NO. 403179 PERMIT NO. 403179 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE Micro Film Fee Cop E FIELD OFFICE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Mech. Fee Dbl $/ NO. PLUMBING FEES Set Back, +1ST FL. 2ND. FL. POR. GAR. CAR P. WALL j ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS f S S R SQ. FT. @ YARD SPKLR SYSTEM ZoneorRestrictions A67 50. FT. @ MOBILEHOME SVC. BAR SINK Type SQ. FT. @ POWER OUTLET ROOF DRAINS Bond Amt. S SQ. FT. @ DRAINAGE PIPING Plon Checker SO. FT. @ DRINKING FOUNTAIN Inspe URINAL SQ. FT. @ Demol. Fee S _` VALUATION is WATER PIPING Supplimentol Permit Numbers NOTE: Not to be used as property tax valuation SWIM POOL, PVT Cf FLOOR DRAIN °Reinsp. Fee S MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Address VENT SYSTEM FAN EVAP. COOL HOOD SIGN Contractor WASHER (AUTO)(DISH) ; License# APPLIANCE DRYER Sewage System Address GARBAGE DISPOSAL. , 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 COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES' SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ a BATH TUB SQ. FT. @ a WATER HEATER S0. FT. RESID @I%c t SEWAGE DISPOSAL S0. FT. GAR @ 3/<a HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL.TOTAL(FFEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. F EyE SMI FEE _51_. FEE PLUMB. FEE PERMIT NO. 403179 'ob Address Spdce Zip Owner C ' - -- y / mmuoity Va otion Dote t Dist. ff. F.C.C. t , MH Permit Fee E Micro Film Fee Cop E Uslenof` permit Porcel % " =- "`/' / iG% ee• ..... No. 7 se/Case No. Ck. By Mech. Fee Dbl $/ PI. Ck. Fee S Set Back, Lot Size Construction Fee Dbl S Legal Description / / +...f y/ /(t / . " e I Aor ;00, god f S S R Electrical Fee Dial S SMI Fee S ZoneorRestrictions A67 Group Type Plumbing Fee Dist S Sp. Imp. Fee S Bond Amt. S Plan o. Plon Checker Final Dote Inspe Unit Demol. Fee S Const. Lender Branch Supplimentol Permit Numbers Regist, Fee E Mileage Fee $ Address City Zip tr Witness Fee g °Reinsp. Fee S Oser/Age . ,/r 7 . /s 12, Te, Zip Total Fees E I M.O. N.C. Cash Q Checksill Address City Zip Received by Contractor Tel. r License# Trees re Sewage System Address City r Zip T LL THIS PERMIT SHALL BECOME VOID IF WORK^Ws t401"QMMECLGED.-YOT!i$` VO DAYS. CESSATION OF WORK verified 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 r 4 THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. REB CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN Form 284.208 (Rev. 1/80) JCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.