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001578, 375041, 391283 (SFD)Building Address Owner Mailing Address City L Contractor 520711 Avmli& Vela= a= Zip Tel. ntz .2253 • Q. 9M A P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No.. 001578 BUILDING: TYPE CONST. V 9 OCC: GRP.: A.P. Number 173-262-003 lot 20. 564-9224. Legal, Description Project Description•'•%• R3 Date Owner NOTICE TO APPLICANT: If, after making this Certfffcate 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 purposfes. // Signature of applicant �r`t ✓0'� �. _ ,T ... �-��t' .� r.. zDate Mailing Address City, State, Zip HARD COPY ZONE: BY: Minimum Setback Distances: City .... , ... _ Zip Palm S-oriia 92262 Tela Rear Setback from Rear Prop. Line State Lia & Classif. 381699 City Lic. # Sq. Ft. 1510 Size _ , No. No. Dw. Stories - Units Arch.; Engr., Designer New p Add ❑ Alter ❑ Repair ❑. Demolition ❑ Address Tel. Validated by: City Zip State Lic. # A1694- b 21 i86L9G CK _ LICENSED CONTRACTOR'S 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 licenseis in full force and effect. SIGNATURE DATE' OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following80.812.00 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, prion to its issuance also requires the applicant -for. such permit to file a signed statement that he is licensed pursuant to the provisions o/ the Contractor's License Law, Chapter 9 (commencing with' Section 7000) of Division -3 of the Business and Professions Code, 'or thattie is exempt therefrom, and the basis /or the alleged exemption. Any violation o/ Section 7031.5 by 'any .applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). . - 0 1, as owner of the property, or my employees with wages as their sole compensation, will "do the work; ind 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 o/ 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 of completion, the owner -builder will have the burden' . or proving that he did not build or,improve./or the purpose o/ sale.) - - ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct-lhe 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 Contractor's License Law.) ❑ I am exempt under Sec.. B. 8 P.C. for this reason A Estimated Valuation - : - PERMIT 'AMOUNT Plan. Chk. Dep. Plan Chk. Bal. Const. 'Mach. 000 Electrical' - 36 . . PlumbingR,iT A ... S.M.I, Grading Driveway Enc. • } Dale Owner�� %�.- - . t`i ._.,- /. ,._«� .i' r� r Infrastructure 2,L9 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 ❑ 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 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. TOTAL 2 ITT 90 1 REMARKS Date Owner NOTICE TO APPLICANT: If, after making this Certfffcate 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 purposfes. // Signature of applicant �r`t ✓0'� �. _ ,T ... �-��t' .� r.. zDate Mailing Address City, State, Zip HARD COPY 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.Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: A1694- b 21 i86L9G CK CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING EES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SQ, FT, ® CAR P. SQ. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 'io�'FORMS 04, �rOUND. REINF. G//{ /a� 7 17 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED HEATING (FINAL) LAUNDRYTRAY AIR HANDLING UNIT CFM GAS (FINAL),Q 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 LUMBER GR. SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL ROOFING SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: 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 PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING? UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK SEWER OR SEPTI TMCP ROUGH WIRING DUCT WORK ROCK STORAGE 'io�'FORMS 04, �rOUND. REINF. G//{ /a� 7 17 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL),Q TEMP. POLE 7 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. A FINAL INSP. O a/ FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWAL.LVt[ �N LATHING MESH INSULATION/SOUND '. FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL �►�FIEp c o c:10_ =.o Desert Sands u 'fled Sc ool District. w BERMUDA DUNES r ' RANCHO MIRAGE 82-879 HIGHWAY, 111 O INDIO, CALIFORNIA 92201-5678 • (E19);347.8631 ' INDIAN WELLS .H , PALM DESERT a June 14 1985 PLA OUINTA., �0 INDIO ti? Iv. City of La Quinta, Department of Community Development 78-105 Calle' Estado La Qui'nta, CA 92253 Re;. :527-300 Aven i da Rami rez, La Qu i nt'a Gentlemen: The developer of the, :above referenced lot has mitigated i't's impacts on -our overcrowded schools by payment of the'amount'.of $628 per unit to be applied to'the cost, of district educa,ti'onal-._facili'ties made necessary by such. .new, .•development. Sincer ly, John D. Brooks Assistant Super- ntende.nt Busi,ne.ss Services JDB/crm COUNTY OF ,RIVERSIDE, DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to county speci-ications 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 City State Zip Code Phone Lz� 6Z k-%k"k-iv Gi??.��i ) 'Property Address City ox C.om;munity - 'Legal Description of Property (Lot, Paecel Map, Tract) r 01 P �© 2 C�' � ®e t V: 2 .' 4a " a.,, 4/11, X230© UE. ��,�,��,� �.A (�:��,� � �a t�,�@ 77:) n"a'- ��,� 111�' 'Assessors Parcel No. Water Serving Property From % Lo. size Signature of Applicant Date 'The above information must be verified from Building Application Staff Use — Do Not Write Below This Line Initial Date WQCB Clearance required Yes ❑ No 0 Soils feasibility report required Yes ❑ No Detailed boring report required Yes ❑ No 4 M Detailed contour plot required Yes ❑ No Q Comments: Soils or boring report by Date Approved by 4 -/Date Soils Map Page //�7// 9 Soil Type �1�' Tract File No Number of Bedrooms �d Septic Tank Size (gallons) Rate Required ��/ C'„ / <��-?d ��C"a• Type of System Mew Addition Replacement `�'"� ,% � ��>� ]orf' ❑ ❑ Leach line sq. ft. of bottom area trench / Leach bed (sq. ft. of bottom area bed) Seepage Pit Diameter Number of Pits Seepage Pit Depth B.I. �i,fP✓�'/ Taal Depth of Pit 5`_011 6' O� f, Location of System rets f Additional Re amen �l e � � *✓6J f � � :r . �.:��. /�>�4� � ,: a �`y� ,���'�" � (,�� A permit issapproved%' eied for the design of a subsurface disposaa system as indicated on the accompanied plot plan using the requirements set forth in Section B above. A building permit is necessary for tl-e installation of the above d7dned�7system. Signature of Health Official Date Receipt No. District: Riverside ❑ Indio -O^ Hemet ❑ DISTRIBUTION: WHITE - Office File YELLOW - Applicant DOH SAN 122 (Rev 10/84) Issued By�� Date PINK - Building Dept. GOLDENROD - Pending File t s TESTING INSPECTION 1731=A WALTER STREET V.ENTURA, CALIFORNIA 9300.3 PHONE (805) 642-6727 August 16, 1985 Job No., B; -15462-P1 85-8-234 Pomona Valley Equipment E:® P.O. Box 457 CE La La Quinta, CA 92253 . .. AU�a 21195 Project: 5 2- 3 0 0 Ave. Ram1reZ COMMUNTY D J_EVELOPMENT DEPT La Quinta, CA .Subject: House 'Pad Report of Field. Densities -On July 25, 1985 a representative of our firm -performed density tests on the fill placed on the building. area ,on the above refer- enced project. Tests were performed at random locations in ac- cordance with ASTM D 2922-81 and ASTM.D 3017-78 Nuclear. Density Test Procedure. Tests performed as p.er authorization of Bob McCallum. The estimated locations of the tests are presented on the attached .plan with their results being summarized on the attached test re- port sheet. A total of three (3) density tests were performed. Test results indicate a minimum of ninety percent (907.:1 of relative compaction has been obtained within the areas tested. The maximum _density -optimum moisture was determined in the laboratory in a.c- cordance with ASTM D 1557-78, Method A, five (5) layer -curve. Classificaiton Maximum•Density-Optimum Moisture Tan silty very fine to fine.sand .113.6 pcf 12.4% VENTURA LANCASTER (805) 642-6727 (805) 948.7538 THOUSAND OAKS BAKERSFIELD SANTA BARBARA PALM SPRINGS SAN LUIS OBISPO (805) 495-8484 (805) 327.5150 (805) 966.9912 (714) 328.9131 " (805) 5446187 August' 16; 1985 Job No. B-15462-P1 85_8-234 LIMITATIONS The compaction operations were completed at the'time our personnel were called' to the site. The test results summarized in this report present Lthe moisture and. density. only at the locations and depth tested on the specifiBd date. The summarized field and.laboratory tests were performed in accorJance with engineering principles generally accepted at this time and locatiDn.• No opinion is expressed as to the uniformity of the.material, compaction nor-adequacy of the material to-perform-its intended.function. No guarantee or warranty of the contractors work-is made or implied. Respectfully submitted, BUENA ENGINEERS, I Reviewed and approved Norman G. Jack on, Jr. Raymo d E. Brannen C.E. 28966 NGJ/REB/kls Copies: 4- Pomona Valley E.qu. 2- City of_La.Quinta 2- P.S. file 1- Vta. 'file R.IIFNA 9Wr.IW FF Rf [Wr I� REPORT OF RELATIVE COMPACTIONS Job No. B -15462-P1 CONTRACTOR: DATE: August 16, 1985 Report No. 85-8-234 52 -300 -Ave. Ramirez ADDRESS: JOB'& LOCATION: L$ Quinta, CA TEST NO. DATE - .DESCRIPTION % MOISTURE DRY DENSITY RELATIVE MAXIMUM TESTED IN PLACE IN PLACE COMPACTION DENSITY ' 1 7-2-5-85 0.5 from grade Per Plan 9.7 111.6 98 113.6 2 7-25-85 1.5 from grade 10.5 111.5 98 113.6 2 7-25-85 3.0 from grade 12.2 106.0 93 113.6 WE CERTIFY THAT THESE TESTS WERE PERFORMED IN CONFORMANCE WITH COPIES: BUENA ENGINEERS, INC. BUILDING PERMIT 1. PERMIT NO. •/ DEPARTMENT OF BUILDING as SAFETY' 3 7 5.0 4+1 COUNTY OF RIVERSIDE t DST FIELD CONSTRUCTION ESTIMATE �� L. Ta - r` >Job Address ' �St�Cf;� NO. ELECTRICAL FEES NO. ;f PLUMBING FEES - IST FL. i lis SQ. FT. @ I C :10 $ ^'?� ' UNITS fj FL: SQ. FT. @' r YARD SPKLR SYSTEM POR.} Yh SQ. FT. @ SI ' Community y i tri • P7ff MOBILEHOME SVC. BAR SINK GAR. - SQ. FT. @ - "?x�P F.C.C. , POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Use of Permit %f }'� (� 1/�•� ��A� x. 1 1 '3'^ > �P.' 'r- • 'l 04,-, .3'� A1`•" ti^•°yi Parcel No. •� -.,. /�'^ .� �Set ! DRAINAGE PIPING + WALL SQ. FT. @ Mech.' Fee Dbl $ PI. Ck. Fee $ -� /� Backs DRINKING FOUNTAIN .. SQ. FT. @ Legal - tion Descri g P �".n.,�y •^`� ::. 'F.j 4. j /� ,{ > S 4. V • ",i 'a, l F S S yam-, C.'y (� C',� ,Group URINAL ESTIMATED CONSTRUCTION VALUATION $ Zone Restrictions A" Type WATER PIPING NOTE: Not to be used as property tax valuation E SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Bond Amt. $ Plan No. t SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Inspector Unit Sp. Insp. Fee $ GARBAGE DISPOSAL. FURNACE UNIT WALL FLOOR SUSPENDED Const Lender . .' �: • � Branch LAUNDRY TRAY AIR HANDLING UNIT' CFM'- Mileage Fee Address IDLE METER KITCHEN SINK , ABSORPTION SYSTEM B.T.U. $ TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Reinsp. Fee $- POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY .Tel. Zip AMPERES SERV ENT SHOWER BOILER B.T.U. Yddress .�. -�, �... ... 7- Q63• F �°i' ! •? QR -F� �, 7��.•y 1 J i L.�+"'''- �.v-moi+ -,-- SQ. FT. @ c BATH TUB Received b +�a•�.. -• �= SQ. FT. @ ' c WATER HEATER License# _ Trees required Sewage System -- SQ. FT. RESID @1'/.c i _ SEWAGE DISPOSAL Address - �' CY�y4� Zip SQ. FT. GAR @ '/. c HOUSE SEWER ' GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE - ELECT. FEE SMI FEE FEE PlOMO. FEE i' r CiJ r` �Li4r' -<PERMINO ? '<� T �� L. Ta - r` >Job Address ' �St�Cf;� - Spacei Zip --,r4-,- Owner •°� r 3504.x` fj \. rr� r Community y i tri • oluation '• $ Date ✓'I '. Dist. Off. F.C.C. , MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit %f }'� (� 1/�•� ��A� x. 1 1 '3'^ > �P.' 'r- • 'l 04,-, .3'� A1`•" ti^•°yi Parcel No. •� -.,. /�'^ .� �Set ! Use/Cas No. Ck. By Mech.' Fee Dbl $ PI. Ck. Fee $ -� /� Backs Lot Size " '+ Construction Fee Dbl $ • Legal - tion Descri g P �".n.,�y •^`� ::. 'F.j 4. j /� ,{ > S 4. V • ",i 'a, l F S S yam-, C.'y (� C',� ,Group ;JR t t¢•/'.), Electrical Fee Dbl E Zone Restrictions Type • SMI Fee E Plumbing Fee Dbl $ Bond Amt. $ Plan No. t PI cker Final Date Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const Lender . .' �: • � Branch Supplim n�to�leAit Numbers ^. " tfCi ' Registr. Fee g Mileage Fee Address h ZiP Witness Fee $ Reinsp. Fee $- 'Owner gen,1ts?"" F '�. % � .Tel. Zip Total Fees $ C,,,,. Yddress .�. -�, �... ... 7- Q63• F �°i' ! •? QR -F� �, 7��.•y 1 J i L.�+"'''- �.v-moi+ -,-- City 11 a Zip LD, ti l'w t/, - M.O. N.C. Cash j'`Check Received b +�a•�.. -• �= Contractor - g;{yq,L A° License# _ Trees required Sewage System -- r.. Address - �' CY�y4� Zip ' T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District" i�•�' 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 THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. i ? r I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 1 Form 284-208 (Rev 8%78) ©s F t •_f ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. `� 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. C] 43 Final 10A Fireplace T. 0. Ej NO ADDITIONAL INFORMATION ' SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 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 P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY F1, T 391283 COUNTY OF RIVERSIDE FIELD 1 CONSTRUCTION ESTIMATE, Job Address NO. ELECTRICAL FEES NO. PLUMBING FEES f 1391283 1 IST FL. �" SQ. FT. @ Valuation Date Dist. • a UNITS MH.Permit Fee $ 2ND. FL. SQ. FT. @ Micro Film Fee Cop $ Use of Permit '•' YARD SPKLR SYSTEM Parcel No. Use/Case No. POR. SQ. FT. @ Mech. Fee MOBILEHOME SVC. BAR SINK r - —.) , v GAR.-� YT _+ SQ. FT. @ ` �l j. 1 POWER OUTLET Pl. Ck. Fee $ n, S 'X ROOF DRAINS Dbl E �' gal Description CAR P. : SQ. FT. @ Zone erst`ctions Group �• Type ll DRAINAGE PIPING + Dbl $ SQ. FT. @ Plon No. Plan Checker DRINKING FOUNTAIN Unit Sp. Insp. Fee WALL SQ. FT. @ URINAL DemoL Fee $ ESTIMATED CONSTRUCTION VALUATION "SC ;� -. �� 1 WATER PIPING ^� ') V NOTE: Not to be used as property tax valuation SWIM POOL, PVT Mileage Fee $ Address City Zip FLOOR DRAIN $ ' MECHANICAL FEES SWIM POOL, COMM Reinspi Fee WATER SOFTENER Owner/Agent VENT SYSTEM FAN EVAP. COOL _.I HOOD Zip SIGN r` WASHER (AUTO)(DISH) �., •r^; APPLIANCE f DRYER yr �� $� Coshn Checzf Address_ U4l GARBAGE DISPOSAL City l) ! �� t ( •k. t r/rI .1- Zip FURNACE UNIT WALL FLOOR SUSPENDED N Contractor LAUNDRY TRAY LicenseX ' AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK L, c: " ABSORPTION SYSTEM B.T.U. City Zip TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR i. HP POLE,TEMP/PERM = LAVATORY (i� HEATING SYSTEM FORCED GRAVITY , AMPERES SERV ENT ( SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB y� SQ. FT. @ c r i' WATER HEATER �� 1 SQ. FT. RESID @1'/.c SEWAGE DISPOSAL �r V SQ. FT. GAR @ '/. c HOUSE SEWER GAS PIPING" ` PERMIT FEEPERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO IFE—E MECH. FEE PL. CK. FEE CONST& ELECT. FEES SMI FEE, FEE PLUMB. FE PERMIT NO. Job Address r ` SpaceZip Owner f 1391283 1 �J Community Valuation Date Dist. • a Off. F.C.C. MH.Permit Fee $ 1 'I G• J ��./ I �6.�.. . i� Micro Film Fee Cop $ Use of Permit '•' Parcel No. Use/Case No. Ck. By Mech. Fee Dbl $4� L r - —.) , v Set Backs lot Size -• t S Pl. Ck. Fee $ n, S 'X Construction Fee Dbl E �' gal Description - f S 5 R 1. �S� Zone erst`ctions Group �• Type ll Electrical Fee Dbl $ j C'ry+�� ��y y j (% .,+( �..f • SMI Fee +�.�, [. i'� ,,,, 4. �^ t..f� 1/ Y v\ E Plumbing Fee Dbl $ and Amt. Plon No. Plan Checker Fin DateEX'4lQ spec or Unit Sp. Insp. Fee $ $ 7-91 DemoL Fee $ Const. Lender Branch Supplimentol Permit Numbers Registr. fee $ , Mileage Fee $ Address City Zip Witness Fee $ ' Reinspi Fee $ Owner/Agent Tel. Zip j w Total Fees M.O. -N.C. $� Coshn Checzf Address_ U4l ` 1 ) „�t� s!\ City l) ! �� t ( •k. t r/rI .1- Zip Received b ' Contractor LicenseX Trees ` q4 r.�w.v'sr. ✓._'^_'^.,� r Sew�_yitem L, Address City Zip LLTHIS 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. r �^ I HEREBY AGREE THAT.ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH WS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. It j Q $ $u(b• JI 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) ©s r. 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 t 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 11 Appl. Clearance 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. o. NON 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 1 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 P/ 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 W io c 0IL W 0:p 0 >- Z t— G UA LL J < =; m'00 ad t—, O z 21- z IL aw J CL 0)- z�- oLL J Q � N m ad APPLICATION FOR TREE PLANTING I rwe), the undersigned, hereby certify and acknowledgesthat I (we) have read the application and agree that if Trees are required under River- side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspecti6ri will be given until said requirements hove been met or exception has been granted by the County. Now, therefore, it is agreed that the prop- erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, in. is agreed that the County of Riverside shall assume no responsibility should trees have to be removed due to lot line errors. Owners Name 5uil ing Permit No. 3 Mailing Address Ciry (� lsT�S'?� t e ` Job Address � d Q Commun' y of Legal Description i Assessor's Map, Book & Page Type Structure Type of Soi Is water available Road Dept. Plot Plan No. Type of 9xisting trees in road right;—.q_ way / Trees preferred by applicant.m (2) (3) — v Date — Owner's Signature Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species', Washingtonia robusta (Mexican fan palm) Number of trees_ Spacing of trees Distance from lot lines: Front 2' in R/W Side Additional requirements Per plot plan on reverse. No street trees will be planted within 10' of driveways. Date Building and Safety notified 5/80 Signature Reason Request for hearing: Owner's Signature YES ❑ (attach additional page if necessary) (Forward application to Planning Dept. if exception requested)., NO REQUEST FOR HEARING Planning Dept. Concur F-1 Non -concur ❑ Explanation Date Signature Road Dept. Concur f—I Non -Concur Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date..hearing established Date hearing notice mailed to owner Approved Cj Disapproved F "Date Owner notified of decision Date Building & Safety notified Signature APPROVAL BY BUILDING INSPECTOR Final Date Inspector Building Permit Job Address `Community 40 Requirements for tree planting complied with Remarks (Detach and forward above information to Road Department Riverside) 284=230, REV. 1/74 i - NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit IN DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE ,2.84 Owner Contractor $Architect L �" �/ r �t) ddress ddress Address- Address 7{ ' Ciry �r��J �Ur .•� .t`. `C�r/ � city_ City / G G Y 7151 Phone _5 Phone Phone y( W I (we) the undersigned, hereby certify and acknowledge that I (we)Fwve read the application and agree -hat if Curb and Gutter, and Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Depar-ment 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 b< 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 < A Wited Approval by Signature from the Following Departments Belo Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. - << , 1 _ - USE Oi= STRUCTURE JOB ADDRESS SINGLE FAMILY Cj DUPLEX t- LEGAL_ DESCRIPTION OF PROPERTYZ - Z APARTMENTS AGRIC. N Q COMMERCIAL 0 INDUSTRIAL' ❑ t COMMUNITY 16ALTERATIONSy_ ❑. O Z NO. OF SUBMITTED PLANS1i1_'_ USE OF PERMIT '� CASE NO. / V -4 O Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -- - -�-? to .• Q ZONE SETBACKS: FRONT SIDE REAR m GRADING PERMIT REQUIRED? YES ] NO ❑ 7 004 SIZE - -•' � �' 'y SETBACK ORDINANCE _— OF FEET REQUIRED O r ' STREET. ND DATE SIGNATURE OF L USE OFFICIAL�f��'��`-' F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --- Z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ x STREET ~ �Tilj•��lGfi (� �l�G�d�. o CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR. DRIVEWAY AND STREET O C IMPROVEMENT? YES ElNO ❑ °L DATE /' SA-TU�f� RDW DEPT. OFFICIA POOLS PUB Cr jSWIMMING Q W = O FOOD,ESTABLISHMENI j11149 r WATER POLLUTION REMARKS �n FLOOD CONTROL W AIR POLLUTION W DIV OF HWY t - c < — YOUR PRtIPERTd MAY BE SUBJECT TO '"' Y ASSUMES FLOOD. RIVERSIDE COUNT O _ NO RESPONSIBILITY IN EVENT OF F I FLOOD. t • ,284 199 ' 9/74 CANARY — FILE, PINK — APPLICANT -- !