Loading...
SFD (00019632)PERMIT APPLICATION County of Riverside Department of Building and Safety A 4080 Lemon St. 2ndy IM 135 N. Alessandro Rd. Rm 203 880 N. Slate Sheet 227 North "0' Street 46209 Oasis St Rm. 310 160 N. Broadway i Riverside, CA 92501 Banron9. CA 92220 Hemet. CA 92343 Perris, CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 787.6146 Ph 849-73121 Ph. 658.4464 Ph 6573898 Ph 342.8271 Ph 922.2670 This permit becomep void it work rel comm.Rited within 180 days from date of issuance. OR, 4 work has beer suspended or abandoned for a period of 180 days ❑ 14 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- LICENSED CONTRACTORS DECLARATION: I hereby allmn that I am licensed under provisions of Chapter 9 (Comment- pleted it the permit is for one hundred (5100) 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 force and effect. permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa- S tion Laws of California. ❑ Date ---- -------Applicant -------- OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law lot the NOTICE TO APPLICANT: If, alter 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 permit shall be following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con- deemed revoked. struct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such PHONE N 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- 01 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- mit subjects the applicant to a civil penalty of not more than five huntlerd dollars ($500).): be made in connection with work authorized by this permit, and that no building structure. scaffolding, lalsework, FINAL DATE or demolition or dismantling thereof, will be more than thirty - six (36) feet high. (Chap. 3.2, Grp 2, Art 2. Sec 341, ❑ 1, as owner of the property, or my employees with wages as Their sole compensation, will do the work, and the 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 employ anyone to do work which would require a from the Division of In - Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or permit dustrial Safely. as noted above. unless such person has a permit to do such work from the division. through his own employees. provided that such improvements are not intended or offered for sale. If, however, ED Industrial the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- Division of Safely Permit No. Ing that he did not build or improve for The purpose of sale.) ❑I, as owner of The property, am exclusively contracting with licensed contractors to conslrucl 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 contractor(s) licensed pursuant to the Con- tractor's License Law.) 01 am exempt under Sec. && P.C. (Attach Certificate). Dale Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -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. ISAPLlff&ME,L FATR ICK T T4,001 GREINWAY @1T11fiit"W YBLATFiT SPRINGS CA 922400000 v1`661RESSISPACE AVE NAVARRO r�TrAZIP CA 9225300'y000 L`73lMWTW41TE pGTYLcor�Na 1 valuation) Rate Valuation $27.60 $37536 •2,20 $2c9992 $9 , 10 $4i 4? 0 2 TWIN of UGo 00 S ATO a 0 0 I l,pT4q 0 G '�P4f 1 SB CA WMIE LQ UNIT 12 BILK 111 QY/LIERHMMi VIII #IIP ATRj ICK T W PHONE N CONTRACTOR -FIRM NAME LICNC N ADDRESS CITYICOM MUNITYISTATEIZIP PHONE# BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC N ADDRESS CITYICOM MUNITYISTATEIZI P PLAN N S E I AP ROVE DATE 1� P &P 9 -SL P IV P�RMI ATT W7014!'{GE d 1 8491 On 1 0sm 1 0VB3 IOU's I 1 110 ZONEORDN LOTSZ N6 00 fl�30 CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the perfor- mance of the work lot which this permit is issued (Sec. 3097. Civ. C.). Lender's Name Lender's Address CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state That the information given is correct. I agree t0 comply with all lot¢ laws and county ordinances retailing to building construction, and authorize a `epre!ylahve of the.County7 Riverside. Department of Building and Safety to enter upon the properly for v✓hic�t fi e applied f?1, is p Oa for the purpose of making inspections. Signature of Applicant or Age , ' Date Print Applicant/Agent Name 0 w"IT9632 cp9b. 1 06/0 —IS2 1 3,12 ESTIMATED PLAN REV FEE " E8TIMtATE escr ption OsWyF1.OM�ry� ANCON ��110�R (NOT f: PSC 101 lot Nit to firroup R-3 R-3 M-1 be used as Type W69D R WOOD prop rty 4q Pt 1360 1360 436 valuation) Rate Valuation $27.60 $37536 •2,20 $2c9992 $9 , 10 $4i 4? Est Plan Rev Fee based on Total Esti"afted Val'tn of $45294 ia: $172.25 TOTAL FEE , CA CKX INC COUNTER B.I. -� COUNTER L.U.T. PERMIT FOR 8TRUCTURAL PLAN REVIEW TOTAL PERMIT COST I6 $172.25 CONSTRUCTION PR ARY Of DRY E8TIMtATE escr ption OsWyF1.OM�ry� ANCON ��110�R (NOT f: PSC 101 lot Nit to firroup R-3 R-3 M-1 be used as Type W69D R WOOD prop rty 4q Pt 1360 1360 436 valuation) Rate Valuation $27.60 $37536 •2,20 $2c9992 $9 , 10 $4i 4? Est Plan Rev Fee based on Total Esti"afted Val'tn of $45294 ia: $172.25 FORM 284-208(11.81) INSPECTOR NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System ` 2 Ftgs &.Frets 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 G7out 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. C] 43 Final 10A Fireplace T.O. FI ADDITIONAL INFORMATION r - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick ' " R Value 7A Walls (Batts) 12B 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 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 t 4 PERMIT APPLICATION Couniv of Riverside tIV. Departmept of Building and Safely 4080 Lemon SI. 2nd floor 135 N. Alessandro Rd, Rm. 203 880 N. Slate Street 227 North "D" Street 46.209 Oasis 51. Rm. 310 160 N. Broadway Riverside. CA 92501 Banning, CA 92220 Hemel, CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 787.6146 + Ph: 8494312 Ph. 658.4464 Ph: 657.3898 Ph: 342.8271 ,Ph: 922.2670 This permit becomes void if work not commenced within 180 days from date of issuance. OR, it work has beer suspended or abandoned for a period of 180 days. ,,+ �. r ❑ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- LICENSED CONTRACTOfiS1iTECLARATION: thereby 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 lot which this I permit is issued. J shall not employ any person in any manner so as to become subject to the Workers; Compensa- Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. i tion Laws of California. ❑ I,,,Yale t • f '. i Applicant ` i . ` i OWNER BUILDER DECLARATION: thereby affirm that I ant exempt Irk the Contractors License Law for the oNOTICE TO APPLICANT: II, alter making this Certificate of Exemption, you should become subject 10 the Workers'-�- following reason (See. 7031.5. Business and Professions Code: Any city or county which requires a permit to con- Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. siruci, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant lot such.: p�a2[.:Ejf}irytA�yl�y(E TY'A 1 411Y yMl)PATRICK 1, 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- ❑I hereby certify than no exwovataul five (5) or more leer in depth into which person is required to descend. will empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- made in connection with n �eouthorized by This permit. and that building structure. scaffolding, mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): If., [e or demolition or dismantling nhel'Bof, will be more than thirty-six (36) feel high. (Chap. 3.2. Grp 2. Art 2. Sec 341, or . Sec 41. ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the Title 8. C.A.C.).. ' structure is not intended or ollered for sale (Sec. 7044, Business and Professions Code: The Contractor's LicenseM ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of In - Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or dustrial Safety. as noted above. unless such person has a permit to do such work from the division. through his own employees, provided that such improvements are not intended or offered for sale. II, however. the building or improvement is sold wit liin'one year of completion, the owner -builder will have the burden of prov- _ C] Division of Industrial Safety Permit No. ing that he did not build or improve for the purpose of sale.) COUNTER B.I. ;, 7 1 ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sqc. CONSTRUCTIONaffirmued thatthere is a construction lending agency for the perlor- RUCTof I N LENDING which Ns permit hereby `7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who 0! 3 $3 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- Lender's Name tractor's License Law.) Lender's Address ❑I am exempt under Sec. . B.& P.C. (Attach Certificate). LOT SZ/� Owner CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and slate ,Date that the information given is correct. I agree to comply with all state laws and county ordinances relating no WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell insure, or y 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 lot this permit for the purpose OI making inspections. certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.). e , ' ^ ❑Cerlilied copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County _ DepArlment_ .•.--.•y-;; r — ,,.Signature of Applicant or Agent. - Oats Print Applicant/Agent Name APPLICANT NAME (L, F, MI) PATTON, PATRICK T ,iON411 GRE£NWAY bT.'%t.TFs11 z SPRINGS CA . 9,22400000 �B1S19br3RESSISPACE AVE NAVARRO , it" Oryl�M1jl`J�T`{($7�pT,F/ZIP CA 922530 0 n 0 tr 7G {I {V7 l07 �/`3WSTJ.1%•41hMl2'n � TWN OOI S VITO 000 0 108 1 .. �. P . ` w� 1 SB LQ UNIT 12 BLK III p�a2[.:Ejf}irytA�yl�y(E TY'A 1 411Y yMl)PATRICK 1, PHONEp CONTRACTOR -FIRM NAME ADDRESS CITY/COMMUNITYISTATE/ZIP ' PHONE p BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME 1 LICNCil ADDRESS CITYICOM M UN ITYISTATEIZI P PLAN p PLANS EXAMINER APPROVE DATE 'DIUMM1 ATT GARAGE QRL01 to I COUNTER B.I. ;, 7 1 921n a1 Y5 1 0V5 0! 3 $3 rND ZONE ORD p LOT SZ/� .Eton 1 9J 110, {k />t 0 0 T H I S Y,ou must see the a Permit can he Description HBLD HEALTH H LD ROAD .f 'APPL/PRMT d 00019632 _ PS DATE /'� A i�D 06/qi/�2 (l� I .,gip• 1 .. �. P . ` . F TOTAL . { FEE CA CKNC COUNTER B.I. ;, 7 1 COUNTER L.U.T. x t J APPLICATION FOR STRUCTURAL. PLAN REVIEW �y I S A N A P P L I G A T I 0 N 'O N L Y follpw,inq �p.artMent% (,if lister!) for concurrence BEFORE issued: ------------------------­`------ Dept to Sea -- - 0 HEALTH FORM 284-208(11-81) ASSESSOR,, a� 1 ROAD- 76/ i NAME i .1"-StyAPPLICANT pI IY.R YlJ� • 'i CREENWAY l 4a �''�''rlsAfflp SORINGI Gly 922400000 Ef M1�twirQssB.S,CE8_ VRESS/SPACE 'AVENAVARRO CA 92y25 773 y`°� / Q'Ci�,��iIZIP' T4 4 U -21a 25, TWN 9 �1 p5N(3}0006 WOO O E lY S U1� 000 _008 TOTAL . FEE! � 58 CK AT- E LQ ,IJNIT• 12 BLK III ,1Yf._l,�;l•Wev'�MII�f t71� 1.4� 4ifi F• PHONE# . 'f. CONTRACTOR- FIRM NAME LICNC # ADDRESS%. CITYICOMMUNITYISTATE/ZIP , PHONE # BLDG. INSPECTOR FINAL DATE I ARCIENG FIRM NAME LICNC'# ADDRESS CITY/COMMUNITY/STATE/ZIP PLAN# PLANS EXAMINER APPROVE DATE <'.15MpGf N ATT GARAGE i5:0 Rz9^i 029 1 Oft OV -6i OQ90%11F4D ZONE ORD #' LOT SZ a { li 0 1 0 OS9 B A PLIPR T P DAT �f RIT4634� x� a�/0'r��� 27311. 9 �1 TOTAL . FEE! CA CK NC I COUNTER B.I. _ - `CO NTER L�U!T / APPLICATION FUR aTiiliC"{URAI.. PLAN REVIEW1 2-7311.1 T a A ii! AP P L I C A•T 10 N Q N i. Y. �YouY MUST see the following Deparl«enis Cif Hired) for concurrence BEFORE a Permit can be i°. stied s . Di �r.r pt or► Dept to scree ----- HOLD �.HEALTH - HEALTH HOLD ROAD ROAD 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 & 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 Lath 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 ELECTRICAL APPROVALS PSL P/ 26 Power Pole 27 Conduit' 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME