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10451, 360546, 368776 (SFD);ding 52-:135 Rubio P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 OwOgxpner - ectation Consttuction Mailing Address 54-295 Dicer Cta Quinti lzip,22.3 Contractor Same Address Zip Tel.: State Lic. & Classif. I Arch., Engr., Designer Address Tel. fii3435 1 BUILDING: TYPE CONST. OCC. GRP: A.P. Number 773--212^©iii I. 564--(�793 Legal Description Lot No. 10451 9 $�••a0�= 4 Project Description SSD City Lic. # i-�� ! �Ze Sq. Ft. Size. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affir that -.i -am licensed undeyprovisions oV hapter W(commencing with Section 7000) of ivissio/n 33 of the Business anld-Profe�ssion's,Code, an�drmy license is in full force and effect.f/_.._b,/1' "'✓���-�-"ry' L L 6 if �� SIGNATURE — / 1 DATE 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 construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such 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) or Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis for the alleged exemption. Any violation .of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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. (Sec. 7044, Buisness and Professions Code: The Contractor's License 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, the building or improvement is sold within one year or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- struct 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 contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Polic No. Company ,Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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. Date Owner 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 permit shall be deemed revoked. 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, Civil Code.) Lender's Name _ Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip New ❑ ok 1614 No. Stories Add ❑ Alter ❑ No. Dw. Units Repair ❑ e block I wail or pool Estimated Valuation • �,3,�,,5,5,g„Q•� r>,� ��,��' ;,;��: PERMIT / AMOUNT � Plan Ghk. Dep. a 51g f7 � Plan Chk. Bal.. Const... ! • GTS) _�r•�r�r2i� � Electrical Plumbing S.M.I. d. 4-.3L; Grading �t.1) •--- 2 a_ a A. � Driveway Enc. Infrastructure . • �j�J�r, `7�; p- i (. ITt�'+^}� TOTAL 3W? " Demolition ❑ Pcaiit does not izvJ.ud ZONE: BY: Minimum Setback Distances: Front Setback from Center,,Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Propert Ff REMARKS FINAL DATE y Line INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM FOR. SO. FT. ® MOBILEHOME SVC.. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ® DUCT WORK DRAINAGE PIPING WALL SO. FT. GAS (ROUGH) DRINKING FOUNTAIN. SO FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ plus x$ LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE i PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER @QSEF1JCiALLLQ r G12—ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING P / /� / n lvl C`I/ FINAL INSP J% Qr,(1 ROOFING �a� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL HING A ` MESH INSULATION/SOUND 'l FINISH GRADING FINAL INSPECTION 3 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL t!_L� • � ' kra P.O.'BOX 1504 APPLICATION ONLY Building ° ' 78-105 CALLE'ESTADO? Address /, " ; ' . LA QUINTA; CALIFORNIA`92253 Owner �o /± Mailing BUILDING: TYPE CONST. OCC. GRP. Address /� (~ A.P. Number ,7�3 -�12 City Zip Tel. # �jy ' Legal' Description LOT / .. Contractor Project Description {�- M S• D Address City Zip Tel. State Lic. � City & Classif. 6 7 yD Lic li- Sq. Ft- No., No.,Dw. Arch., Engr., Size S 7 Stories ., Units 'Designer_ New ❑ AddO• Alter,0 Repair C3Demolition ❑ Address Tel. City Zip State Lic. N LICENS D CONTRACTOR'S DECLARATION 1 hereby affirm t t I am lice 'd,u- er pro4 n f Cha r 9;fcommencing with Section • ' 7000) of Divisio f the Busines Prof S. 0416; d my°tic a is in full force and y,• effect. S GNAT w' DATE - OWNER -BUILDER DECLARATION .f I h y affirm that I am exempt from the Coritractors License Law for the following EStlmated,.ValUatlOn j. reason: (Sec. 7031.5:8usiriess and�ProfeSsionSCode..,Any.city,or' county which requires a t permit to construct, after, improve, demolish,,& repair'any structure, prior to Its issuance also requires the applicant for such permit to file'a signed statement that he is -licensed pursuant to. 'PERMIT' AMOUNT the provisions of the Contractor's License Law, -Chapter9;,(commencing with.Section'7000) of ' Division 3 o1 the Business and Professions Code. or that. he Ise exempt therefrom, and the basis - for, the alleged exemption. Any violation or Section. 7031.5 by 'any applicant for a permit Pian.Chk.'Dep. subjects the applicant to a civil penalty of not more than five hundred'dollars ($500). 't�• 17 I, as owner of the property; or my employees with wages as their sole compensation, will'' Plan Chk. -Bal. ?; do the work, and the structure is not intended or offeied for sale. (Sec. -7044, Buisness and. Const. Professions Code: The Contractor's License Lawtdoes;nodapply to an owner of..propertywho " builds or improves thereon and who doesjsu6M work himself or through his own employees, = McCh.- provided that such improvements are notinlendetl or offered for sale.,If,'however, the`building - or improvement is sold within one.year of ,completion, the'. owner•builder will have the burden Electrical ' of proving that he did not build or improve for the purpose'of sale.) I 1 I, as owner of the'property,'am exclusively contracting; with licensed contractors•to con- -'Plumbing sIruct the project.'(Sec. 7044, Business and'Professions Code: The Contractor's-Oeense Law does not apply to an owner of property'who builds ok�improviii tliereon, and -who contracts for, such projects with -a contractors) licensed pursuant to,ihe Contractor's License Law.) OGiading- ' i 7 I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date � Owner r t., fraStrUCt6 WORKERS' COMPENSATION DECLARATION #. I hereby affirm that I have;a certificate of consent'to'self•insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company fi -! F1 Copy is filed with the city. 0 Cartified copy is hereby furnished. #' {' `TQTAL-,. CERTIFICATE -OF -EXEMPTION FROM *;REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is"loryone:'hundred dollars (S100) valuation or less.) v -' - lel certify that in the performance of thV work for which this permit is issued, I shall. note'? employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. Date Owner NOTICE TO APPLICANT: fl„ after making this Certificate -of Exemption you shout 'become ZONE - BY: y sr-bject to the Workers' Compensation provisions of the' labor Code; you musf� forthwith . Mlm $etback;glStangeS comply with such provisions or this, permit shall be deemrllmu ed revoked. - Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY ' Side Street Setback from -Center Line I hereby affirm that there is a. construction lending agency.for the performance of, the work for which this permit is issued. (Sec. 3097, Civil Code.) .L'r Side Setback from Property Line Lender's Name- Lender's ame Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to -expiration if work thereunder is suspended for 180 days.'' - .e I ceitity that I have read this applicationand stale that the above information is correct. Issued by: Date Permit I agree to comply with',all city and county ordinances and°state laws relating to building construction, and hereby authorize representatives, ;of this- city to -enter the above• - - mentioned property for inspection purposes. 'Validated by: 'a Signature of applicant Date •- r" , Mailing Address Validation:' City, State, Zip ' Y r , ` .FINANCE. DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated (619) 347-8631 Date 5/29/92 1 Type of Permit La uinta No. 111436 Permit # Log # Owner Name Expectation Construction No. street See Below City La Quinta Zip 92253' Study Area APN # I I Tract # Lot # Square Footage 1304 Type of Development I Bingle Family Residence No. of units Comments verhally by the City_ (Areas: 1 in 112' and 2 in 11 3) At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of1.58 X ® or $ 5,773.32 have been paid to D.S.0 S.D. for the property listed above and that building permits_ and/or Certificates of Occupancy for this square footage in this proposed projectmay now be issued. Fees Paid By Roger Snellenberger & Assoc., Inc. Telephone 771-4501 Name on the check By James E. Lively Assistant Superintendent, Business Services Fee collected /exempted by Shelley D. Bennett Payment Received Signature Check'• I�Jo..1$15 Collector. Attach a copy of county or city plan check application form to district copy for all waivsrs. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy -Accounting , r COACHELLA VALLEY WATER DISTRICT' n /A j ; "„CASH RECEIPT DETAIL'{•� r C �& • S �i % �� Received From: J y— Date. Address: Acc0unINOL^'C.�/Y % / G.� ✓.r6j�/ 1 i l,se' Loi(s) % rdct - .J �^r/ s. J _ s T / N Service Address _ ' ,J/- �I• 1� „ G.A. Code LJ Meters) 1 LI / 7 t� 0 Q/tervlce(s) ❑ Backflow(s) ' �_,•;. ❑ House Laterals) x ❑ Detector Check (s) ❑ MMeterSurcharge t �• t+ Sanitation Capacity Charge 2 S . jam ~ 1� ; 4' ` ,p � ❑ W.S.B.F.C. r ❑ Temporary Construction Meter A, ❑ Turn on Charge � '• ' ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - of Fee - t E)Plan Check Fees Water /Sewer - \ C, Q 1CC7 ` Y?1 ti 1 d Tract -rrys' 1.— ❑ Bond Payment - A.D. - Bond ei 1 — • VJ'`� 2;'S 71 Assmt. ' 4 ❑ Customer Deposit "� p ❑ Other. s AL :5Q.0 ” ` $' ' Remarks: ► , —1`� ,� �, Li ❑Copy to: :r .z Cash 11 Check Water Service r C Money `� � �� %� �; � � � • ._.�:� Order .,." s� Cashler ` CVWD-438(11/89) RANCHO MIRAGE -LOT 55 BLOCK *** LOTS WE WILL BUILD ON.WITH THI'S CONSTRUCTION LOAN r (4,t it I; of MIA Orrr? -5.. - ul� Tit� nf 14a(ouinta jluitbtu� dub 5�5''dfet� 34t*k1t*Fm*11n This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 52-185 Rubio Use Classification Single Family Dwelling Bldg. Permit No. 10451 Group $'A Type Construction UN Fre Zone Use Zone RR Owner of Building Expectation Construction Address 54-295 Diaz City La Quinta. CA By; Lonnie Day Date: December. 30, 1992 Building Official POST IN A CONSPICUOUS PLACE _C UNTY• Y R/VERS.F Te*ahtmek O� Tu( d�'Rg aid Satety . Administrative Office Bldg: Room 310 Hall of Records, Room;114 Adm inistrative_0ffice;Bldg`. 46-209-Oasis Street 4080-Lemon Street 880 N. State -Street;' Indio, California 92201 Riverside, California • 92501 Hemet, . CA-• 92343 (7.14),!'WMM=i-'342.8271 (714)..787=6146 (714) 658-4464 (714) �dr3X f, $e'p mbeg 26. .1979 gJL.:Joh:to Ia><d 0 , .'GA 92201' NOTICE OF ..EXPIRATION You were recently advised that-we had not .received •a `requesJt for an inspection on -your. Building: Permit Number(s) 368776' for Located at 52-$5'cAveniia ,Rubio;, Y:a :Quri�a You were also,given-,a copy of-Sec 302 (d), "Expiration",,taken from the latest edition of _the ,Uniform. Building -Code,, which •we. quote :again .as .follows: (d). Expiration:,Every permit issued by the Building Official under the, provisions ofthis-Code:shall e. pireiby'limitation:and:,become hull... and void, if the building-or work authorized by'such cperrriit` is not commenced %vithii 120 dais from 4.e date of such permit, or if the building or \vork authorized by'such:permit is suspended-or abandoned at am- time after the •work .is 'commenced •For. a period of 120 days. Before such,;work can,,4p: recommenced. 'a .nexv permit: shall be first obt in.ed so to do;:and,ihe..fee the'iefor shill be one=half:the amount required for a ne%v- permit for such Av ork, provided; no "changes have been,made or will be madejnAe orig inal'plans and'specifications for siich;,W6erk •and prop ided, .furtlier, that such susl?ension or abandon merit. has not exceeded one year. Since' the following, circumstances :apply, _your:. permit has expired and has been removed from':our active files. {`. ` Work; not commenced. within 120' days : Wo:rk.-suspended for-.d period of 120 days p As indicated. above, you may `obtain a+ new• permit. 'by payment of one-half the amount required for a new permit, -provided there are-no changes and that the suspension has not.exceeded'one year.. Very . truly yours', DEPARTMENT OF, BUILDING AND SAFETY Ml lI ,AELYBU. fnd3o Office 284-189 8/74 1 NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT ' APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199 9174 CANARY—FILE, PINK—APPLICANT Owner b'fl ) I %� N1 tfsitest;l rr-C - 106 - Contractor_ Uf t ct=�y0.i Address z -&I 1=fL:-ter ,_L_ Address ± s��, Address— City j Cit i—i., . _1 G r Cit �� --=- Phone f f • � C Phone I . r: ;' jy_ Phone !S I L I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and W 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 Approval by Signature from the. Following Departments li Below Must Be Obtained Prior to the Issuing of a Construction Permit. r ISPACE NO. - _ i USE OF STRUCTURE JOB ADDRESS r]�gj/g� 0 I SINGLE FAMILY DUPLEX ❑ F LEGAL DESCRIPTION OF PROPERTY ~. Z _ - APARTMENTS AGRIC. 0 lot 9 ■ blk,-4 SCV IaLI NQ — COMMERCIAL INDUSTRIAL L� j GCOMMUNITY �(y�,''4 �� ����---- ALTERATIONS L] Wa NO. OF SUBMITTED PLANS —_ JJSE OF PERM I(t Mag CASE NO. -'r -- — .s> -vim. - — -- p Z NO. OF PARKING SPACfS REQUIRED _.. NO. OF -BUILDINGS NOW EXISTING 10 $`1 Q ZONE —_ ,ETBAC'KS: FRONTSIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON STREET DATE _—_1• :3 r2n SIGNATURE OF LAND USE OFFICIAL F- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --- z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ _ —STREET H W CAN CURB AND GUTTER FEASIBLY BE INSTALLYES ElNO ❑ c HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEMENT? YES [a --Nb [-I °L DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC ` W SEWAGE DISPOSA W S FOOD ESTABLISHMENT WATER POLLUTION _ REMARKS �n FLOOD CONTROL z AIR POLLUTION — W 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 9174 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT Ir; i� PERMIT NO. DEPARTMENT, OF BUILDING 8..SAFETY� osr 3 6,05 4 6 -COUNTY OF RIVERSIDE ri FIELD CONSTRUCTION ESTIMATE NO.- ELECTRICAL FEES NO. PLUMBING FEES IST fl:.-" ` .2ND. FL. +9i�{ POR','SQ. . _ " CARP. • ~ .) v y .: jt:i . i # -+; WALL' SQ. FT. @ $ p UNITS 360546 t { SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. 4 FT: @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS t SQ. FT. @ DRAINAGE PIPING y ... w. x Y . , y�, i r•�� w ,-:.x ...i i; t „ 4 .''Y'. SQ. FT. :@ DRINKING FOUNTAIN t SQ. FT. @ - URINAL ESTIMATED CONSTRUCTION VALUATION ( WATER PIPING ,•• NOTE: Not ,to,be used as property ta•x valuation SWIM POOL, PVT r FLOOR DRAIN ,• �,° -MECHANICAL FEES swlM Pool, COMM WATER SOFTENER VENT SYSTEM„ '�" s FAN ' .EVAP. COOL HOOD a SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER • - GARBAGE DISPOSAL FURNACE UNIT WALL, 'FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING'UNIT t �� CFM ; ; IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP i RMT LAVATORY HEATING SYSTEM; FORCED GRAVITY,' • AMPERES SERV ENT SHOWER BOILER B.T•U: - SQ. FT. @ < BATH TUB s�%y::ik vv •4niiti« k� .++-�h0.?!?%.f.4 �i. in,F t sl, '.'. ,. f'.. ... ,i : t•.,`i :'. -' SO. FT.' @"r• C a'�F WATER HEATER + S0. FT. RESID @ 1114 c SEWAGE DISPOSAL SQ. FT. GAR @ s/. c HOUSE SEWER + Group Typ GAS PIPING PERMIT FEEPERMIT Dbl $ FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE fL FEE CONST. FEE "ELECT. FEE SMI FEE FEE PLUMB. FEE "PERMIT NO. >' ' ' `�'-+''r' ` • ' '9615Address Owner 360546 -e m unity 1 / .Valuation - $ 4 Date Dist Off. F.C.C. .._ .,t .. . MH.Permit Fee $ Zhl�i y(„f,I,� _/A -r+ Micro Film Fee Cop $ - Use of PermiT ” �- Parcel No. - Use/Case No. Ck. By Mech. Fee- Dbl E a r" PI. Ck. Fee , $ i', SeY Backs Lot Size , _ -g"�1 Construction Fee Dbl E Legal Desc tion' ,+ , pu` • /.�•!� — F 5 5 R Zone Restrictions - Group Typ Electrical Fee Dbl $ SWFee• E Plumbing Fee Dbl $ - - Bond Amt. Plan No. ra P n Ch Final DoW Inspector '� ^��• Unit _ + Sp. Insp. Fee j b 7.• Demol. Fee $ " Const. Lender% r %Branch • •r Supp limen I P rmit Numbers Registr. Fee - $ Mileage Fee $ • e s Address City Zip Witness Fee $ Reinsp. Fee '. § t Owner/Agent - - - , - Tel. Zip y•. Addreiys t ' - City .� Zip Total Fees $' M.O. Cj N. Cash 0 Check ' Received by.•. ' Contr ctor , 1;,. ; 'd„f Tel. '•'� License# - f iequire7' '1"r'. -f, ..r .�..# ,.w l _ .tit a .:o-�. .., RP '�t • cs..l'4L Trees d. _ Yri' Sewage System . •� i . Address • f T`�” V i' { City ' -;• Zip ". 4 t • ' . "' •; T. .. LL •s' P i.' THIS PERMIT SHALL BECOME VOID IF.WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer Districtf • FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. T ' '� `•'% ' '� *' +'' "� -' i I HEREBY 'AGREE THAT, ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH { •. a i; THE LAWS OF RIVERSIDE COUNTY AND THE'STATE OF CALIFORNIA. • { j • r t_r� •'- {' + �' I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN -�'• ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284.208 (Rev.8/78) j verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilat.on System 2 Ftgs 8 Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets 3 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance t 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. E] 43 Final 10A Fireplace T. 0. 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 (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 PSL 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 i STREET NAME BUILDING PERMIT PERMIT NO. PERMIT NO. Space Zip Owner DEPARTMENT OF BUILDING & SAFETYFIELD 368776 DST 912253WK. 3 6 8 7 7 6 COUNTY OF RIVERSIDE Community Valuation Davey Dist. Off. F.C.C. MH.Permit Fee V � ai SSJ W i7�:5 I i B 0 � 77V • q @ r� t Z3415.651 23415 r 65 16 5-- 5—,79 ' l 1 51 001 Micro Film Fee E Use ofPermit CONSTRUCTION ESTIMATE � Use/Case No. C2By , NO. ELECTRICAL FEES NO. PLUMBING FEES 12!5 18 -4 ` �� �� UNITS Mech. Fee E ISTFL. SQ. FT. @ S: IPI. Ck. Fee E 2ND. FL. SQ. FT. @ Set Backs Lot Size f7t �lX q -`fl fit /7l t1Ery R/ Z!K! iUXiXI YARD SPKLR SYSTEM FAe2/! SAI/1G Sf7E �'J1 iq Rht21 :/V"i FOR. SQ. FT. @ Dbl E � 7y t, �r /�4rp y�.� .;tiTJZ J' B. 4 SCiLQ ��+F,,'{, MOBILEHOME SVC. ZonnetRRefstrictionssJtJw.1 BAR SINK Tyi�tz/pe GAR. SQ. FT. @ SMI Fee E POWER OUTLET ROOF DRAINS •+ CAR P. SQ. FT. @ Plumbing Fee Dbl E 3 t Bond Amt. DRAINAGE PIPING Plan eckee 1.75 Fina at ! p for tX ��` . 2 Unit DRINKING FOUNTAIN j WALL SQ. FT. @ h1,� yy L Y:7J IG7 q , �` e. ! x '0?/...,,i L SQ. FT. @ Demol. Fee E Const. Lender Branch URINAL ESTIMATED CONSTRUCTION VALUATION' $ Registr. Fee qq �4i6'.�J�i WATER PIPING 550 NOTE: Not to be used as property tax valuation Mileage Fee E Address - City Zip Witness Fee SWIM POOL, PVT _ t y, FLOOR DRAIN MECHANICAL FEES Reinsp. Fee SWIM POOL, COMM Ow /Agent �^ 61�,%, WATER SOFTENER Tel. VENT SYSTEM FAN EVAP. COOL JOOD Zip 0�y0/ SIGN y�. J. 1. !JONSTO ,WASHER (AUTO)(DISH)51 j0 APPLIANCE DRYER yy,, y e 00 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Total Fees E 1701Address LAUNDRY TRAY - CityRl AIR HANDLING UNIT CFM Zip IDLE METER t� DHALSER KITCHEN SINK ' 15 ABSORPTION SYSTEM B.T.U. M.O. .N.C. TEMP USE PERMIT SVC Chec 'Et WATER CLOSET 950 COMPRESSOR 2501PPOLE,TEMP/PERM Received by Contractor LAVATORY c., (rJ HEATING SYSTEM FORCED GRAVITY License# 4001.2 AMPERES SERV ENT �j) SHOWER BOILER B.T.U. SQ. FT. @ c Sewage SystemAddress JBATH TUB 50 City Zip SQ. FT. @ e WATER HEATER 250 `Z5aQ. FT. RESID @1'/.c 1570 SEWAGE DISPOSAL i 50 SQ. FT. GAR @ z/. c HOUSE SEWER GAS PIPING PERMIT FEE Q), PERMIT FEE ;7j PERMIT FEE �L �/ DBL. TOTAI FEESAMOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE ..0 ., ' 25.7'd 1,.,6 ,, 3' PERMIT NO. .1 Job Address - .tr Space Zip Owner 368776 M. k010 912253WK. WTI N Community Valuation Davey Dist. Off. F.C.C. MH.Permit Fee E �•'# �j LA Q.L I TA E • q @ r� t Z3415.651 23415 r 65 16 5-- 5—,79 ' l 1 51 001 Micro Film Fee E Use ofPermit Parcell No. � Use/Case No. C2By , rDb nn d�ryy a�77��pp ��// IN 7-73't12020-2 Mech. Fee E l�V.R/LL l� .VS�:Lr a S: IPI. Ck. Fee E Set Backs Lot Size f7t �lX q -`fl fit /7l t1Ery R/ Z!K! iUXiXI Construction Fee E Legal Description FAe2/! SAI/1G Sf7E �'J1 iq Rht21 :/V"i Electrical Fee Dbl E � 7y t, �r /�4rp y�.� .;tiTJZ J' B. 4 SCiLQ ��+F,,'{, ZonnetRRefstrictionssJtJw.1 Group Tyi�tz/pe SMI Fee E ^* +� •+ Plumbing Fee Dbl E 3 t Bond Amt. Pion No. Plan eckee Fina at ! p for Unit Sp. Insp. Fee j E h1,� yy L Y:7J IG7 q , �` e. ! x '0?/...,,i L I, Demol. Fee E Const. Lender Branch Suppp•2;lli�imryrye��nfoll Permit Numbers Registr. Fee E R1i36 i it/ Mileage Fee E Address - City Zip Witness Fee E _ t y, Reinsp. Fee E Ow /Agent �^ 61�,%, Tel. Zip y�. J. 1. !JONSTO 347-0887 Total Fees E 1701Address - CityRl Zip t� DHALSER p� h INDI.O M.O. .N.C. Cash Chec 'Et Received by Contractor Tel. License# •r Trees required Sewage SystemAddress City Zip I" T r LL P THIS PERMIT SHALL BECOME VOID IF WbRK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK •Sewer District FOR 120 DAYS SHALL ALSO CAUSE "MIT TA BECOME VOID. ` I HEREBY AGREE THAT ALL W N�I/ITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH 4+ THE LAWS OF RIVERSIDE COUNTY AND THE', ATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 554i 03 THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ,i Form 284-208 (Rev. 8/78) :. - .r:, s- . .t . t.,«.. e,. __. a- - — _...+y. _.. ..4 :. ..:. r a': ...f, trr verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPEC�.)R BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 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.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 AP_PROVALS_. 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