SFD (00021906)52105 Avenida Martinez
00021906
VpJJTNTH0R1jkf. M11
OURS 1638 _
CA 922600000
Af P"Y/
`..51,2 IJE(A4DRESSISPACE AVE MARTINEZ
ee 7LWO
W V 4' 1'{7'i PCI lA , C 6922530000
YMTWZIP
22530 0 0 0
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7731211
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L :Y55436
MURs 1638
CA 922600000
3N4'— 5 L 8— df 0 el 8
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73N4' -568-1.048.
BLDG. INSPECTOR
FINAL DATE
ARVENG FIRM NAME
LICNC#
ADDRESS
t
' CITY/COMMUNITYISTATEIZIP
PLAN #
1
PLANS EXAMINER
APPROVE DATE
' rP _P EAMI+RTTT GARAGE ggggggyy
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026
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39868
TOTAL .
FEE
CA
CK
NC
I COUNTER B.I.
COUNTER L.U.T.
•
moo."^
APPLICATION FOR S"ft 1CiURF L 6 LRi IT
T. N I' a I' s A N A P P L I C A 'T 1 0 N O N L. Y
RS .
FORM 280.208(1181)INSPECTO"
d ,.
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System*
2
Ftgs 8 Frms
34
Plenums 8 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.O.
P'
ADDITIONAL INFORMATION
_
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth '
12 Internal Lath
12A Drywall '
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Botts)
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
Tank Pit L.Line
P/L
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B , Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
d
iV „1"9411 1 'C " • r f=-
fp URS
xR'bJ
PTIT.:IWuNMOWT CA 922600000
AOBSITE09DORESSISPACE AR TINS y
AVEP1 V G. f- f7C d. t 922
61Tj1(COI (y1.UplliV(STIRT PIP
M A 3 0 0 O Q
869..?31t J M1a 1uib
6
TWN
Ua0
U4
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0
C1P8 A
SB
y
VAp%yYY Q0 t .%
Qi.V yp
mB7w pe .--96 a
DEV CC
EEVE'SER 1
PHONEN
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y ,
+ p .y
L13W ^YJ
lgyMD ip 'gSi 99A♦V N,f71AR1 0
VURS 8 6381
PTV'i;4.fful/6-sSiitTA i CA 922600000
LDG.P♦OW5OG,4n4® INSPECTOR
FINAL DATE
AC/ENG FIRM NAME
LICNCp
ADDRESS
CITYICOM MUNITY/STATEIZIP
.PLL AN qE
EXAMINER
APPROVE DATE
7 p y / P,p }PLAN;
W-E: HMI d lI Q ATT VPg7g9y{P9ApAt$F$.
alp
1J o
R d N
on
! oft ri
$$ r
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AND
• ZONE ORD #
LOT SZ
0 os 0 t
„ y $Ipp
` 61MY1906 In 07®1,-a"T'0:2 t
39570
.f
TOTAL .
FEE
CA CK NC COUNTERB.L. COUNTER L.U.T. -
APPLICATION FOR SI'RUC TURAL. PL.AW REVIEW
1 M I'S I a A N : A P P L. I C; A T X 0 N O N L, Y
You -must See the following Departments (if listed) for concurrence BEFORE
--a Permit can -be Issued i
>Desgr i 4 i on . o . ...— .... N.......---- ., .-- . ..._...„.,...»_-- 3epp 4 to see...». _. ,
.HOLD -ROAD, M AL,TH ... LA D USE
FORM 286.208 (11.81) ' 1 NSPECTOR
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
12A
BUILDING APPROVALS
..13
MECHANICAL APPROVALS
INSULATION
33
Ventilation System
1
Set Back
128
Ceiling (Batts)
2'
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
16
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
Sewage Disposal
38
Compressor
6
Roof Deck
21
39
Appl. Clearance
7
Framing
40
Fire Damper
24
Gas Test
41
Smoke Detection Device
8
Vents
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
Power Pole
43
Final
Conduit
Service Entrance
29
Wiring
P1VA! Suc^0AAATIAIJ
IDA
Fireplace T.O. U
11
Exterior Lath
12
Internal Lath
12A
Drywall
..13
Finish Grade
INSULATION
Thick R
Value
7A
Walls (Batts)
128
Ceiling (Batts)
QC
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
ELECTRICAL APPROVALS
26
Power Pole
27
28
Conduit
Service Entrance
29
Wiring
29A
Grounding Wire
'
29B
30
31
32
Bonding ,
Fixtures
Service
Final
SEWAGE SYSTEM SIZE 8, LOCATION
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L P/L
STREET NAME
r PERW APPLICATION
County of Riverside
Department of Building and Safety
Id •Rm.
4080 Lemon St. Floor 135 N. Alessandro Rd Rm, 203 880 N. Slate Street
' Riverside. CA 92501 Banning. CA 92220 Hemet. CA 92343 9
227 North "D" Street 46.209 Oasis St 310 160 N. Broadway
Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225
Ph: 497-6146 Ph849-7312 Ph. 658.4464
Phi 657-3898 Ph-. 342.8271 Ph 922.2670
V This permil,bebpLnes void it work not commenced within 180 days Iron date of issuance. OR. it work has beer suspended
or abandoned for a period of 180 days.
❑ .. • ,
a -
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION: thereby affirm that I arh licensed under provisions of Chapter 9 (cornmenc-
ple[ed if the permit is for one hundred ($100) or less. I certify that in the performance of the work for which this '
Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
utfu 0 0 0 IN
tion Laws of California:
❑
Dale _Applicant
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
NOTICE TO APPLICANT: If. after making this Certificate of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this shall be
following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con-
permit
deemed revoked.
strucl, alter, improve, demolish. Or repair any structure, prior to its issuance, also requires the applicant for such
VAWAV0"N4°IORN .A*
r, permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
01 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will
mit subjects the applicant to a civil penalty of not more than five hunderd dollars (5500).):
be made in connection with work authorized by this permit. and that no building structure, scaffolding, falsework.
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work. and the
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.). '
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
❑As owner -builder. I will not do
Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
through his own employees, provided that such improvements are not intended or offered for sale. If, however,
employ anyone to work which would require a permit from the Division of In -
dustrial Safety. as noted above. unless such person has a permit to do such work from the division.
the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov-
❑Division of industrial Safety Permit No.
ing that he did not build or improve for the purpose of sale.)
R JON t
❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Sec.
CONSTRUCTION LENDING AGENCY: I hereby affirm that [here is a construction lending agency for the perfor-
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
mance of the work for which this permit is issued (Sec. 3097. Civ. C.).
builds or improves thereon, and who contracts for such projects with a conlractor(s) licensed pursuant to the Con-
Lender's Name
tractor's License Law.)
Lender's Address
Of am exempt under Sec. 8 & P.C. (Attach Certificate).
_
Date Owner
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate.
0 aso
that the information given is correct. I agree to comply with all state laws and county ordinances relating to
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a
building construction, and authorize a representative of the County of Riverside, Department of Building and Safety
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
to enter upon the property for which I have applied for this permit for the purpose of making inspections.
oe
❑Certified copy is hereby furnished.
„r
❑Certified copy is tiled with the County Building Inspection Departipent or Courcy _Department. i
Signature of Applicant or Agent Dale
4 +'' 4 -
hrAL#N 4J,V tlt MI) -
S 1638
P'T{WUVESEW"T CA 922600000
51 e4`05,RESSISPACE AVE MARTINEZ
:, Ico t r AIZIP CA a 922530000
"3
1231
W96
9
TWN
00100
dEO
S
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0 5
80F 1
SB
11 BLKK-96
gVR!p' "y"LA4M wT
IT1"t 1ERT, DEV CO
PHONE# a
VAWAV0"N4°IORN .A*
L555436
RIMS 1638
PALOW"UESURPr CA 922600000
714C-568-1 048
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME •fix"
LICNC If
ADDRESS
r
CITYICOMMUNITYISTATEIZIP
PLAN N
PLANS EXAMINER
APPROVE DATE
M.Umt ATT GARAGE
tT 0,
R JON t
0 210
10_&5
0 U!5 JOT"
IM
ZONE ORDN
LOT SZ
0 aso
0 9 VV
X
Print Applicant/Agent Name
TUId2T1 9 0 6 x 0 7.1 i f iia -39570
F TOTAL
FEE
CA ICK INC I COUNTER B.I. I COUNT
APPLICATION FOR STRUCTURAL PLAN REVIEW
L.U.T
Mm", 011111
T H I S I S A N A P P L I C A T I 0 N O N L Y
You Must see the following Departments (if listed) for concurrence BEFORE
a Permit can be issued"....Descr ip t x'on ------ Det to See -----
,HOLD --ROAD, . Ey/' 7LTHI ^^ LAN USE
A-,
Via. 4
FO RM 284,208(11.81)' APIMANT
Receipt No. ~ S^ ` Issued By
District: Riverside 0 Indio ❑ Hemet ❑ Date
DISTRIBUTION: WHITE - Office File YELLOW - Applicant PINK - Building Dept. GOLDENROD - Attached to Plans
DOH SAN 122 (New 10/81)
RIVERSIDE COUNTY DEPARTMENT OF HEALTH
APPLICATION FOR PERMIT TO INSTALL'A RESIDENTIAL SUBSURFACE DISPOSAL SYSTEM
Applicant: Submit this form with three copies of a scaled plot plan drawn to the specifications required on the attached
check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payable to
County of Riverside.
Name
Mailing Address
Q
City ,}
State PZiipq_C^o de
/
Phone
V
'Property Address
'City or Community
'Legal Description of Property
'Assessors Parcel No.
Water Serving Property From
A
Signature of Applicant Date
'The above information must be verified from Building Application
Staff Use — Do Not Write Below This Line
Initial Date t
Soils feasibility report required Yes ❑ No ❑
I
Detailed boring report required Yes ❑ No U
Detailed contour plot required Yes ❑ , Not❑
m
Z
Soils or boring report by Date
O_
F-
V
Approved by Date
W
0
Soils Map Pae Soil T i
Page ype Tract File No. Other
Number of Bedrooms
Septic Tank Size (gallons)
Rate Required (sq. ft./100 gal or gal. sq. ft./day)
Leach line sq. ft. of bottom area trench
Leach bed (sq. ft. of bottom area bed)
Seepage Pit Diameter
Seepage Pit Vertical Feet
Numepage Pits
Maximum Depth of Pit
Location of System
Additional Requirements
V
A permit is,approveS/denied for the installation of a subsurface disposal system as indicated on the accompanied
Z
O
plot plan using•the requirements set forth in Section C above.
7
LU
(n
Signature of Health Official Date
Receipt No. ~ S^ ` Issued By
District: Riverside 0 Indio ❑ Hemet ❑ Date
DISTRIBUTION: WHITE - Office File YELLOW - Applicant PINK - Building Dept. GOLDENROD - Attached to Plans
DOH SAN 122 (New 10/81)
rcnmii Nrru4Rnun
County of Riverside
Department of Building and Safety
4080 Lemon SL 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street
Riverside. CA 92501 Banning. CA 92220 Hemet.
227 North "0" Street 46.209 Oasis SI. Rm. 310 160 N. Broadway
CA 92343
Ph: 7876146 Ph: 849.7312 PR 658.4464
Y
Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225
Ph: 6573898 Ph: 342.8271 Ph: 9222670
t This permit becomes void it work not commenced within 180 days from dale of issuance. OR, if work las beer suspended or abandoned for a peaoo of 180 days.
❑ ''
2ta I1
.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com-
LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment-
pleted it the permit is for one hundred ($100) or less. I certify that in the performance of The work for which this
ing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in lull to Ice and elfet:.
permit issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
S
tion Laws of California.
0 5
Date —__ Applicant
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Sec. -7031.5. Business and Professions Code: Any city or county which requires a permit to con.
NOTICE TO APPLICANT: If, alter making[his Certificate of Exemplion, you should become subject to [he Workers'
Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be
i struct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
deemed revoked.
permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
empl therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
❑I hereby certily that no excavation five (5) or more feet in de p required
into which a person is re ufred to 0,wil1
per-
mit subjecls the applicant to a civil penalty of not more than live hunderd dollars ($500).):
made to connection with work authorized by this permit. and that
and building structure, scaffolding,
g, lags
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
or
or demolition or dismantling thereof. will be more than thirty-six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341,
feet . Sec 41.
Title 8. C.A.C. ).
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
Law. does
OAS owner -builder. I will not employ anyone to do work which '
would ld require a from the Division In
not apply to an owner of properly who builds or improves thereon, and who does such work himself or
through his own employees, provided that such improvements are not intended or offered for sale. ll, however,
permit of
dustrial Safety, as noted above. unless such person has a permit tosuch work from the division.
the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov:
in that he did not build or im r f Ih I
❑ Division of Industrial Safety Permit No.
g p ove or a purpose o sale.)
❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a contraclor(s) licensed pursuant to the Con-
tractor's License Law.)
L... ❑I am exempt under Sec. . BA P.C. (Attach Certificate).
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. C.).
❑Certified copy is hereby furnished.
❑Certified copy is filed with the County Building Inspection Department or County Department.
ippJAPN'/y' 1`7'«A NF, MI)
7Kou5es. i 638
PTAUO 4DN113USEIRPT CA 922600000
C9B „61Pf 15RESS/SPACE MARTINEZ
AVE.YtVI . A11CYA &9926.2530000
L1TACOQVf' j1rV/ZIP
Iq, /C
2ta I1
N 1 6 p0
TWN
O
1 aS o
OO'
S
73
T 4/ V 0 0 0 WO
0 5
UOip {
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ai J'A"A4 t11 IULK- 96
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PHONE N
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i IF'fVOR N 7' OR N
lyyJ
N } y
LIIS1315436
fi R
LpG7KS 164747
P wonffujapr. CA 922600000
114,44_568' •' q
BLDG. INSPECTOR
FINAL DATE
ARC/ENG FIRM NAME
LICNC N
ADDRESS
CITY/COMMUNITY/STATE/ZIP
PLAN 0 -
P S X R
APPROVE DATE
hl$E.0) VIVA& ATT GARAGE-
ARAGE-
Av
W.1
R1'N
0210
0LS _.
1,.
a B o
n
nD
ZONEORDN
LOT SZ
0 tENOO 3f
RJ l N V
•1 S g
V 1 li
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perlor-
mance of [he work for which [his permit is issued (Sec. 3097. Civ. C.).
Lender's Name
Lenders Address
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state
That the information given is coriecl. I agree to comply with all slate laws and county ordinances relaling to
building construction. and authorize a representative of the County of Riverside. Department of Building and Safety
to enter upon the property for which I have applied for this permit for the purposeofmaking inspections.
Sigrialu of Applit1m or Agent D {j L_,.• -
Print Applicant/Agent Name
to( ME -1 y U 6 - C 107113752--- J,ESTIMATED PLAN REV fEE.
1
i
TOTAL
FEE
CA
C%
NC
COUNTER B . 1....1
.✓ti1.:f i_ dry
COUNTER L.U.T.
PERMIT FOR STRUCTURAL PLAN REVIEW
TOTAL,: PERMIT COST IS $151.77
CONSTRUCTION ESTIMATE (NOTEt Not to be used as property
Description FCC Group Type Sq Ft
PRIMARY DWLG 101 R-3 V_W 1211
'SEXNDRY AIRCON 900 R• 3 R 1211
SECNDRY PR'IGAR 436 M WD 320
Es't• Plain Rev Fee based on Total Estimated Val'tn of
FORM 284208 (11.8 IIVSPECTOR
valuation)
Rath Valuation
$27,60 $33423
$2.20 $2664
$38999 ist X2$1 1.77
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport. i
3
Steel
36
Inlets 8 Outlets i
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.
P'
_
ADDITIONAL INFORMATION
#t
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Lath -
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
Tank Pit L.Line
'
REAR OF PROPERTY LINE
PSL PSL
ELECTRICAL APPROVALS
26 Power Pole
27 ; .Conduit
28• Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service..
'32 Final
STREET NAME