The URL can be used to link to this page

354549, 359935, 404474, 413183 (SFD)y, BYILDING PLIKMII I.' a t -. aDEPARTMENTIGF• BUILDING B;SAFETY.-.'.:-,, �'.`4`; N'""�PERMIT NO. "FIELD -`* DST' 3 5 4 5 4 9 COUNTY OF RIVERSIDE-' CONSTRUCTION ESTIMATE ELECTRICAL.FEES. NO: PLUMBING} FEES •3,•. Zip Owner ; •�' ,« -V. ;r %� A PERMITNO. 5.«+f ,.: _,,*e-; d' iw .'► UNITS Community AF'1^/ ��?'�y oyer N Valuation. E IST FL. SQ. FT. @/� k�5 �° - SQ. FT.^ @' -2 • 'tr°^ia:A3le x.+P . • �: M a r. «,.w �s.:!��n .,r• .3 .YARD SPKLR.SYSTEM,; *•�u• 2ND. FL. 'POR. SQ. FT. '@' - r MOBILEHOME SVC. BAR SINK , ' rw. GAR: SQ. FT; @ - Cop E POWER OUTLET t y ROOF DRAINS Use/Case No.. _ r •" CA. 1, SQ. FT:_ @' • • t Mach. Fee Dbl E PAk. Fee§ j&i - Set Backs DRAINAGE PIPING ,. �, • �` WALL SQ. FT. @ i ' Legal Description c - 9 P r' .i. --�, ,,, - Fye S I'. -.%• _:� 'ate,%Lr DRINKING FOUNTAIN Zone Restrictions ' '�/ SQ. FT: @ SMI Fee URINAL 'ESTIMATED CONSTRUCTION VALUATION . ' , : • $ " ' WATER PIPING Dbl $' ,,NONot to be used as property tax valuation Bond Amt. E SWIM POOL, PVT, PlaC�eckne7r�, '� 1 . __ w # -. "V FLOOR DRAIN _ Inspector t•, •r•t 1TE: &�r !r MECHANICAL,FEES Sp. Insp. Fee $ 3. SWIM POOL, COMM, $ WATER SOFTENER Const. Lender. Branch , zy� r t VENT SYSTEM FAN EVA P4COOL'"!'1r"`x` 7HOOD""°�� ' 2'r `•` ` ` r"'� �"~ SIGN 'r'T"'k`'''' � �`' ' ' •t� ;. "WASH'ER-(AUTO)(DISHj § APPLIANCE+DRYER, S F ;7.' + 4 4 GARBAGE DISPOSAL Address City. Zip I /i� - FURNAdl UNIT WALL FLOOR . SUSPENDED `F i, i s , . LAUNDRY TRAY Tel. Zip .w:f.w'•P' ^ Y'v.w•�= ti�Y^-eW,f. fn•Wy^,. AIR HANDLING UNIT } ° a,"y CFM •Total Fees IDLE METER 44� V L KITCHEN SINK City -' ABSORPTION SYSTEM B. T.U.c` j _ TEMP USE PERMIT SVC • r 'i Y i WATER CLOSET Contractor "'V 1 •' - -..✓ 4i,. �1✓f'�fi"� !�#+r COMPRESSOR T' HP'' i �' � ' ` ` POLE,TEMP/PERM 1 • � LAVATORY Fr HEATING SYSTEM FORCED ;t , t GRAVITY.r Address ;y Y • . �. AMPERES'SERV ENT '" " SHOWER BOILER' t y B. T. U. . ,Y." E.' r' SQ. FT. @ - C.... ;, _ BATH • • .- � q �- SQ. FT. @ c }. ;,WATER HEATER '. .. SQ. FT. RESID @1'/.c SEWAGE DISPOSAL ► # j SQ. FT. GAR @ '/. t . HOUSE SEWER GAS PIPING PERMIT FEE ` r 5.•� >.✓ - t • . r PERMIT FEE w a Wr •::.tpsw. . • . r•. PERMIT -FEE ra+ =.+ �,• -d.ap DELL.-, TOTAL FEES, MOB. HM. FEE FI MICRO FEE MECH. FEE PL. CK. FEE. CONST. FEE - ELECT. FEE SMI FEE FEE PLUMB. FEE,.. tri "�' •�,� r TItT •. t THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Yl P PE verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. . I HEREBY, AGREE.THATAUL,WORK.IN.:CONNECTION WITH THIS•PERMIT+WILL BE•DONE IN ACCORDANCE WITH.!d '•` THE LAWS OF RIVERSIDE 6JUNTY AND THE STATE OF CALIFORNIA. t I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ° Form 28d-208 (Rev B/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA f' � - - .. _ -. .-. t.. ,. — � -- �_- el::! . - . ,. . .. '�- - _ . -- � '•�i'•. rte: .ti '��... •_. Aw'. + Job Address - � - % - ., �w ��E�� tip--,, y ,Space Zip Owner ; •�' ,« -V. ;r %� A PERMITNO. 5.«+f /� ((�� d' iw .'► r Community AF'1^/ ��?'�y oyer N Valuation. E Date / 'Dist--0ff k�5 �° - MH,Permit Fee § (.i•�R•f ae [ J / ,,,�•• M cro Film Fee Cop E Use of Permit ] ,r /' ' r•., i cl•* S % r!i!$. (,;, Parcel No. • r /!. '• lcf.�'-- ^•,,n Use/Case No.. _ r •" -k. By', • . C •' Mach. Fee Dbl E PAk. Fee§ j&i - Set Backs Lot rType ,. �, V Construction Fee Dbl E Legal Description c - 9 P r' .i. --�, ,,, - Fye S I'. -.%• _:� 'ate,%Lr Electrical Fee Dbl $/ Zone Restrictions ' Group SMI Fee ' Plumbing Fee Dbl $' 9 Bond Amt. E Pian No r ..,/_ PlaC�eckne7r�, '� 1 . __ w # -. "V Final Da �j r�1 3 2 ` r / _ Inspector t•, •r•t Unit •. ' ` .>-:. Sp. Insp. Fee $ 3. Demol. Fee $ Const. Lender. Branch , zy� r t Supplimentol Permit Numbers, 4.: „ , t. _ - t!t:.*, • �• Registr. Fee § F , - ` • '•� - , 27 ; • - Mileage Fee $ Address City. Zip I /i� - Witness Fee $ Reinsp. Fee $ Owner%Agent ti.••m�•h. • 1 r a . . /+' .., .aJ f:''x .. . , t• FF Tel. Zip .w:f.w'•P' ^ Y'v.w•�= ti�Y^-eW,f. fn•Wy^,. F ; _ �•�. _ •Total Fees § 44� V Address F , City -' ZIP b' M.O. N.C. Cash L'nec Received by - A'"4 r, a \ Contractor "'V 1 •' - -..✓ 4i,. �1✓f'�fi"� !�#+r Tel. t ,,..� �'"'`., � A .. Licensetf > Trees required ti- Sewage System , r Address ;y Y • . �. City - Zip • , �, �? � .Y % /7 r Jl � 4 Ott:. Glx' Gc"� ' ,i�t�°�'' (.i' J G3 TItT •. t THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Yl P PE verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. . I HEREBY, AGREE.THATAUL,WORK.IN.:CONNECTION WITH THIS•PERMIT+WILL BE•DONE IN ACCORDANCE WITH.!d '•` THE LAWS OF RIVERSIDE 6JUNTY AND THE STATE OF CALIFORNIA. t I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ° Form 28d-208 (Rev B/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA f' � - - .. _ -. .-. t.. ,. — � -- �_- el::! . - . ,. . .. '�- - _ . -- � '•�i'•. rte: .ti '��... •_. Aw'. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs 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. ❑ No ADDITIONAL INFORMATION fi 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 ` 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 VCOUNTY a Of' RIVERx �( epantunet ouiVd�Hg aid Saety SIDE „�� a.,a;9, ii d - 1 Administrative Office Bldg. Room 310 Hall of: .Rec`ords,•Room 114 Administrative Office Bldg. 46-209, Oasis?Street 4080 Aon.;Street 880.N. State.�Street Indio; California. 92201 Riverside, 87{California ,92501 Hemet;".CA .92343 (714) 347-8511 (714), .7=6146 (714) 638-4464 (714)' 345-2521 August 91 1919 NOTICE OF.EXPIRATION You were recently advised that we had not' ',a request for':an inspection on your; Building Permit Numbers) 359935 for °''die lsl'itieg i Located at 52�7�i55 Aven$da Ramizes You were also given a copy -of Sec -302• (d) -!-!'Exp Liat ion".,taken:from the latest j .edition of the Uniform;Building Code,. which: we: quote again as follows: i (d) ,Fxpirahon Every permit issued by the Building`Ofl"icial under the_prpvisions ot,this Code shall expire by limitafion;:and become null i and ytiid Ff Che building or workauthorized ibyFs ich permit is not j cornmcnced xi Fthir 120 days from ahe date oftsuch permit, or if the bwlding of of k authorized by scich per is suspended or abandoned it ui� tune 'after Mie work• is-cpmmenced'. `for a' period of 120 dad s ::1 r Before, such work 'can be recommenced anew- perm"it shall be first obtlFoed sotto do, and the fee therefor shall be;one half the amount regi !t�'ed fon a. new permit for such �� of k provided �nq changes have been made or. ti ill,be made in the original plans;`and specifications for such �i%ork; and: provided, ,further, that ,such suspension or abandon menprl as not exceeded one year. I Since the following•circums,tanc'es apply, your permit has expired:,and:has,been removed from ouractive.;'files. ;. Work not commenced wfhin 120 days Work suspended for";a period of 120>days _ t i As indicated abo'Ve;: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 nof'exceeded`one year. ! , Very truly yours;.'t' f _DEPARTMENT OF BUILDING AND SAFETY ! Xhdio --of fire 284-189 8/74 k�LL BUILDING PERMIT PERMIT NO. X35'9:935 DEPARTMENT, OF; BUILDING &,SAFETY COUNTY OF RIVERSIDE _ FIELD DST :-.si-, CONSTRUCTION. ESTIMATE I.'.� " NO: f . ELECTRICAL:FEES NO.. PLUMBING FEES IST FL $ SQ. FT. @ p _' 9' UNITS a I ..2ND. FL. "`.' _ U t`' SQ. FT. @ _ '• ►'; 2 #.. YARD SPKLR SYSTEM Community S SQ: `FT. @i.,w:,T":':. .sl i e. _x. • i MOBILEHQME SVCsx.,n -;rp; r: BAR SINK ✓., * •r.: # GAR. ` �- � .SQ. FT. @ ;. MH.Permit Fee E. -- POER OUTLET, W� • ROOF DRAINS r CAR P SQ. FT. @ t f Tom' ' DRAINAGE PIPING T WALL ' SQ. FL @ { �" • t a ^� DRINKING FOUNTAIN = Y e - .._'-.� ,� a• 5( Y.i ,/ URINAL Construction FeeDbl E ....-......-...- a.r �1 ESTIMATED CONSTRUCTION VALUATION Y :� w. • 0,�(,. J., r WATER PIPING Electrical Fee Dbl E w NOTE: Not to.be usedros groperty,taz Valuation` O ;± SWIM POOL; PVT_t44 `-F l FLOOR DRAIN SMI Fee E i! MECHANICAL FEES , ti • ,lAe? SWIM POOL, COMM WATER SOFTENER ' VENT SYSTEM I FAN " EVAP. COOL ' HOOD Plumbing Fee' `" ' DbI $ >•� Bond Amt. I SIGN WASHER (AUTO)(DISH) t + APPLIANCE DRYElf Fina_ DatUnit GARBAGE DISPOSAL Sp. Insp. Sp. - E. _ FURNACE (UNIT' : WALL FLOOR' -'- SUSPENDED ' LAUNDRY TRAY �- AIR HANDLING UNIT CFM Demol. Fee E IDLE METER KITCHEN SINK r Branch 4 ABSORPTION SYSTEM B.T.U. ' Su- plimental Permit Numbers ,� tY+ �> . •! t4 ,.a TEMP USE PERMIT,SVC' WATER CLOSET Address ' - Cit Zi Y 4 PVLness COMPRESSOR '. "• y HP - Fee POLE,TEMP/PERM LAVATORY HEATING SYSTEM % r,� FORCED GRAVITY Reinsp. Fee1. AMPERES SERV ENT SHOWER f, £ (• BOILER tB.T.0 .Telt; it+ Zip SQ. FT. @ ; < " BATH TUB Addreis ♦.S . '�� ,: ,fir-_ i.; SQ. FT. t WATER HEATER .57 77 ` r i;% �• S0. FT. RESID @1'ht ` f SEWAGE DISPOSAL ka M.O. N.C: CAI; Chee;k SQ. FT. GAR @ . °/. Ce. - HOUSE SEWER (+� - Contr,octor %` GAS PIPING PERMIT FEEr' f PERMIT FEE PERMIT FEE Sewage System it DBL...,..r,.,, i,, .>TOTALFEES MOB.HM.FEE .- ,.MICRO FEE .,,,ME'CN&F ',•,1,,PL..CK..!EE" �f;, .CONST.E,=•Effrt.FE ` SMI FEE -F FEE PUfM78.FEEj LL aq; v'PX-Ci->'+ .r.r•4,' THIS PERMIT SHALL'BECOME VOId IF WORK'IS NOT COMMENCED WITHIN 120 DAYS. 'CESSATION Of WORK Sewer District FOR 120 DAYS SHAWALSO CAUSE PERMIT,TO BECOME -VOID;_ " I HEREBY AGREE THAT WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDETY 7D THE STATE OF CALIFORNIA;" i ! s , `, • Y C 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) verified by: Job Address � . Space Zip Owner PERMIT NO.- 9' .,359 Community S �� .F�,.,..7.- Valuation. E ,, 7.? • �`r� Dates > Dist. w Off. F.C.C. 1 MH.Permit Fee E. -- Micro Film Fee .j • Cop E Use of Permit l Parcel No' Use/Case No. Ck.% Mech. Fee Dbl, $ i �iVL�^ 'rte" 4( .I+ PI. CC. Fee E a + Set Bac s� Lot Size Construction FeeDbl E Legal Description, // G;�(+%'//� Y :� w. • 0,�(,. J., F : S S- R Electrical Fee Dbl E Zone Restrictions r.. '.i • Group Ty&e f SMI Fee E ti • ,lAe? ' Plumbing Fee' `" ' DbI $ >•� Bond Amt. I Plon Na. t + Plgn Checker J, Fina_ DatUnit E. •Fee Sp. Insp. Sp. - E. _ E '1r f �- R— Demol. Fee E Const. lender ' i S ,. •. r Branch 4 - ' Su- plimental Permit Numbers ,� tY+ �> . •! t4 Regisir. Fee "" E' . Mileage Fee r E. Address ' - Cit Zi Y 4 PVLness e` Fee Reinsp. Fee1. Owner/Agent '• f, £ (• .Telt; it+ Zip T'otal•fees �d ti- .+% E.f C"'.�`,w- s>ti Addreis ♦.S . '�� ,: ,fir-_ i.; City •yF Zip + �' , M.O. N.C: CAI; Chee;k Received by •'tti ,`�- Contr,octor %` / ?T ;. Tel. '; a License# Trees* required Sewage System it Address U /' :✓ `%', Cit a.:• y Zip LL aq; v'PX-Ci->'+ .r.r•4,' THIS PERMIT SHALL'BECOME VOId IF WORK'IS NOT COMMENCED WITHIN 120 DAYS. 'CESSATION Of WORK Sewer District FOR 120 DAYS SHAWALSO CAUSE PERMIT,TO BECOME -VOID;_ " I HEREBY AGREE THAT WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDETY 7D THE STATE OF CALIFORNIA;" i ! s , `, • Y C 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) verified by: 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 y SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 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 t REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L - - P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring' 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY '-COUNTY OF RIVERSIDE 1 e' DISTRICT Permit No ,.284 199 9/74 - CANARY—FILE, PINK—APPLICANT 'rw M Owner O-QO(za ""V! l fA t'; =C Architect Al /A L ` ' � $ Contractor J- L f( �/L T 'r Address n tI' Ci'-�� Address t"'�' �0� Y " Address f ' /t /G�� City City /n!' �/C City_ /,V / iC Phone ,Phone / Phone I (we) the undersigned,, hereby certify and acknowledge that I (we) have read the application and agree -that if Curb and Gutter, and cc 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 notcause 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 �31,, SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. t I USE OF STRUCTURE JOB ADDRESS I _ SINGLE FAMILY �OUPLEX El >. Z t- LEGAL DESCRIPTION OF PROPERTY I - APARTMENTS AGRIC. El r r O L •,. r i. r? kit 7' � y COMMERCIAL INDUSTRIAL LJ N '^ C6��' COMMUNITY 1 •'� ___7 ALTERATIONS LJ Z NO. OF SUBMITTED'PLANS --- USE OF PERMIT WCASE NO. Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING - Z-10 ., a / • r . t I 7 ZONE SETBACKS: FRONT- SIDE REAR J Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE b __ OF FEET REQUIRED ON" % { STREET DATE SIGNATURE OF LAND USE OFFICIAL �+ DEDICATION REQUIRED: �yYES ❑ .NO-. ❑ NO. OF FEET._— W CURB AND GUTTER REQUIRED: YES NO ❑ /..��>�✓�"� 'Cfi f"� z G� _STREET 01 s W ' CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEM NT? ES� NO ❑ 00 DATE - -� �'` SIGNATURE OF ROAD DEPT. OFFICIO Z SWIMMING POOLS PUBL1C�� ' QIL SEWAGE DISPOSALa –Z��_%�� _ FOOD ESTABLISHMENT = WATER POLLUTION REMARKS �n FLOOD CONTROL W AIR POLLUTION E ` - _ DIV OF HWY ti ' c YOUR PROPERTY MAY BE SUBJECT TO a . — ' p _ s FLOOD. RIVERSIDE COUNTY ASSUMES ` r - ....'ANO RESPONSIBILITY IN EVENT OF FLOOD. ,.284 199 9/74 - CANARY—FILE, PINK—APPLICANT 'rw M 1z W z O o" oUA WO O � ZLU — W LL _J Q � N m a8 d1 H a _Z W z z o J O a W 0 >- Z f- UjLL J Q � N co e8 APPLICATION FOR TREE PLANTING I (we), the undersigned, hereby certify and acknowledge that 1 (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 inspection will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the prop. arty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of Riverside shall assume no responsibility should trees have to be removed due to lot line errors. 13 -3 9_9? 35 Owner's Name �c�c^� Iw�iNT�Ya Building Permit No. Moiling Addressf��d �Q.G$z e� Q City /tyQW State J-zip/V zzo 4 Job Address �� l_15_ - 0�C'�� Communityy"' r b L %.igal Descri.pt.iort 2 (- _ Assessor's Map, Book & Page Type Structure Type of Soil Jff!:2 Is water available Road Dept. Plot Plan No. Type of existing trees in road right-of-way Trees preferred by.applicont (1) 1//-A (2) ✓ �� (3) Date 7/Z;7/-7 Y Owner's Signature Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Washingtonia robusta (Mexican fan palm) Number of trees 1 Spacing of trees Distance from lot lines: Front 2' in R/W Side Additional requirements per plot plan on reverse, Date Building and Safety notified 5/79 Signature REQUEST FOR EXCEPTION Reason (attach additional page if necessary) Request for hearing: YES ❑ Owner's Signature (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur ❑ Non concur ❑ Explondtion i Date • Signature Road Dept. Concur ❑ Non -Concur ❑, Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Date hearing notice mailed to owner Approved ❑ Disapproved ❑ 'Date Owner notified of decision Date Building & Safety notified Signature APPROVAL BY BUILDING'INSPECTOR Final Date Inspector Building Permit No Job Address Community Requirements for tree planting complied with Remarks (Detach and forward above information to Road Department Riverside) 284-230, REV. 1/74 " 6 1979 1' 1 11 t tv I BUILDING PERMIT PERMIT NO, DEPARTMENT OF BUILDING & SAFETY 0 4474 COUNTY OF RIVERSIDE FIELD DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL.-e=SO. FT. r 1 UNITS Date9 _ j 2ND. FL. SO. FT. @ Off. F.C.C. YARD SPKLR SYSTEM POR. S0. FT. @ MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. SO. FT. @ MH Permit Fee S Micro Film Fee Cop $ DRAINAGE PIPING WALL �^ SO. FT. @ E%t% Ck. By DRINKING FOUNTAIN " � � URINAL S0. FT. @ Mach. Fee Dbl 5ier""•o �,-. `'.,.��.-i/�,"�,.�r; ,;.,,-� 't j�if .c '7 "-.A:a :a ESTIMATED CONSTRUCTION VALUATION $ .7 �.� PI. Ck. Fee S t ; WATER PIPING NOTE: Not to be used as property tax valuation / Construction Fee Dbl S SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES R SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Type SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Plan Nq.11 �� /! V Plan a kerg GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Unit Sp. Insp. Fee S LAUNDRY TRAY AIR HANDLING UNIT CFM Supplimentol Permit Numbers r t IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Witness Fee $ TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY f.r AMPERES SERV ENT SHOWER BOILER B.T.U. Received by�,.r 50. FT. @ a BATH TUB . SO. FT. @ a WATER HEATER `� Jr Trees rete' dr 4 1116 SO. FT. RESID @ 1'/4a SEWAGE DISPOSAL City -' Zip SO. FT. GAR @ 3/44 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEEMICRO'FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE G;n'J tCCJ r s , PERMIT NO. 4 O4474]! Job Address Space r / rj0, Zip r Owner C mun'g " Date9 _ Dist. Off. F.C.C. lv6lbotidre" .fir's `i 7 • $ MH Permit Fee S Micro Film Fee Cop $ se of -Permit Parcel No. " .r f . Use/Cosa No. Ck. By '%J,4�*.s++ Mach. Fee Dbl 5ier""•o �,-. `'.,.��.-i/�,"�,.�r; ,;.,,-� 't j�if .c '7 "-.A:a :a - PI. Ck. Fee S t ; Se' eVs Y.. Lot Size 's <i Construction Fee Dbl S Legal Description Az l— � r'/ pr" �.. F 9 $ $ R Electrical Fee Dbl $Pi Zone Restrictions"' Group Type SMI Fee S Plumbing Fee Dbl $ Bond Amt. Plan Nq.11 �� /! V Plan a kerg Final DM — Inspector Unit Sp. Insp. Fee S Demol. Fee $ Const. Lender ,fir' " Branch Supplimentol Permit Numbers r t Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent J Tel. Zip Total Fees $ Address ,/'"p, �f' City Zip f.r A,- ,I" ^ M.O. ❑ N.C. ❑ Cash ❑ Check . Received by�,.r "Cdntroctor �. . �.' ti""'"•� �, 5r ^7 ^` ��. f, �'� `� Jr Trees rete' dr 4 1116 Sewage yste' ., ,� tr,,,i+f Addr.W - r ` . ' .' ` City -' Zip T LL P Sewer District r Form 284-208 (Rev. 1/80( HIS PERMR SHALL BE�OM/OID IF WORK IS NOT COMMENCE WITH(ti 120 D'A4S. CESSATION OF WORK verified by: 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 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. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 figs & 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. 0. °o ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Loth 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 BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 413 1 Q COUNTY OF RIVERSIDE FIELD 01" 1 v - PERMIT NO. 41318 3 ESTIMATE Space ,Zip q Owner t {(..�` }-t �.yr,- „/ l �F.• 1 T 1f 5 f fJ NO. ELECTRICAL FEES NO. PLUMBING FEES ..MH Permit Fee (CONSTRUCTION 1 ST FL. :/� `�� 2ND. FL. FOR. GAR. CAR P. WALL '�.�' ESTIMATED CONSTRUCTION 9 SO. FT. @ $ d". % S UNITS Use of Permit _ - Parcel t �' Use/Cote No. L 7 ,. j �_ i,�' Z Ck. By. Mech. Fee Dbl s $ d i� -, �� • � � ! YARD SPKLR SYSTEM SO. FT. @ SO. FT. @ MOBILEHOME SVC. BAR SINK § F "1 S P SO. FT. @ POWER OUTLET ROOF DRAINS ,-,Construction SO:_FT. @ DRAINAGE PIPING ii.[ :Legal SO. FT. @ .� - DRINKING FOUNTAIN SO. FT. @ URINAL $estrictions a� VALUATION $ �• ' Y- r v WATER PIPING j - NOTE: Not to be used os.property toa voluotion f� SWIM POOL, PVT ,,(Plumbing Fee Dbl § may` FLOOR DRAIN Plan N �� Z~ Plan Checker /,. .. Final Dote Inspector •/v� MECHANICAL FEES 1 Sp. Insp. Fee S SWIM POOL, COMM (� 71,.% F.f'�'s"�•v,r' WATER SOFTENER ;� VENT SYSTEM FAN E EVAP. COOL HOOD ' / Supplimental Permit Numbers SIGN •,r.'Registr. Fee $ WASHER (AUTO)(DTM 4 17 APPLIANCE DRYER J� f GARBAGE DISPOSAL Owner/Agent i ?i FURNACE UNIT WALL FLOOR SUSPENDED '. Total Fees LAUNDRY TRAY •% Address 14. City AIR HANDLING UNIT CFM - Cosh Q Check IDLE METER KITCHEN SINK Contra - r/' .- Tel. ,\• �h7 ABSORPTION SYSTEM B.T.U. 3Trees required TEMP USE PERMIT SVC a•°' !~.! 4''q- WATER CLOSET Gr% Address _ �`r'`t?%'dt``�+� C" COMPRESSOR HP (t'� POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Lt' F}/� 7„ y AMPERES SERV ENT �C SHOWER BOILER B.T.U. SO. FT. @ a BATH TUB SO. FT. @ a WATER HEATER �* S0. FT. RESID @1 t/aa fl! y SEWAGE DISPOSAL 50. FT. GAR @ 3/14 HOUSE SEWER GAS PIPING PERMIT FEE / �� PERMIT FEE p,/ PERMIT FEE C f DBI. TOT�Ar/L FSS'- �> MOB. HM. FEE MICROFEE MEC//H. FE PL. CK. FEE CONST. FEE ELECT. FEE SMI FE FEE P M c5. - PERMIT NO. 41318 3 Job Address -� 1- }4 i Space ,Zip q Owner t {(..�` }-t �.yr,- „/ l �F.• 1 T 1f 5 f fJ Community r �, / j / /�`A/�{ Valuation �y Dote �, r Dist yi � f,,.,,4 IIV �.�....� ��1, � Off, �� s/F.�C/C�. ..MH Permit Fee S . _ C.. ! § Microjilm Fee Cap S d Use of Permit _ - Parcel t �' Use/Cote No. L 7 ,. j �_ i,�' Z Ck. By. Mech. Fee Dbl s $ d i� -, �� • � � ! ; PI. Ck. Fee Fee Dbl § F "1 S P oc Set Socks Lot Size J Description F` S z' S +� R •y ' ,-,Construction 3 1I p� ii.[ :Legal .� �r • a Electrical Fee Dbl $estrictions a� L p t �� }t"' i!��• (%% Zone R Grou 1j v-�'r �c �i g'--' V iJ y 11/fp �!1 ^'.•i �, Type T1s;A�t ' ?SMI Fee $ f� T' ,,(Plumbing Fee Dbl § may` and Anil: Plan N �� Z~ Plan Checker /,. .. Final Dote Inspector •/v� Unit 1 Sp. Insp. Fee S S (� 71,.% F.f'�'s"�•v,r' '//� �` ;� Dental. Fee S Const. Lender Branch S Supplimental Permit Numbers Y •,r.'Registr. Fee $ C Mileage Fee '-- $ Address City _ `q a Zipr,,�_..• `. Witness Feet. J� �Reinsp. Fee $ Owner/Agent i Tel. , Zip , '. Total Fees S y •% Address 14. City Zip M.O. ❑ N.C. ❑ Cosh Q Check � Received by, �f J� Ji7` Contra - r/' .- Tel. ,\• �h7 License# 3Trees required a•°' !~.! 4''q- �.Sewoge S F;::Ai►l' b: ro �e Address _ �`r'`t?%'dt``�+� C" City Zip %f!c.l�•IAr1r'1i� T LL r p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK ' Sev er Dis ri<t 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 STAr� OF CALIFORNIA. I HEREBY CERTIFY -THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ?Form 284-208 (Rev. I/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: ?�i NO. OPERATION DATE INSPECT& 140. J OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 2 Set Bock Ftgs & Frms I 29 0 i �/� 33 34 Ventilation System Plenums a Ducts 2A Slab Grade %l S/ 35 Furnace Comport. 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck (y_a7•/ 39 Appl. Clearance 7 Framing =1 G 40 Fire Damper — 8 Vents 41 Smoke Detection Device l 9 Garage Fire Wall 42--- Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.O. [] °o ADDITIONAL INFORMATION ' SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath ' 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) s 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final _ _ _ PLUMBING APPROVALS _ _ _ 15 Ground Plumb 16 Water Piping 1j 17 Rough Plumb 0 �? —b 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 f P/L ,. P/ i ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance ' 29 Wiring p 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final 1 , r W W Z 3 O OH O LU CC O >- Z t - W LL J Q N m c� O z Z ~ za Q W J O IL APPLICATI6N FOl, TREE�PLANTING ` I (we), the undersigned, hereby certify and acknowledge that 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 inspection^^', will be given until said requirements have 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, it is agreed that the County of Riverside shall assume no respc rbili y should trees have to be removed due to lot line errors. Owners Name c uS Building Permit No. r �ZLO� Mailing Address • � N✓E /+ �� City -State �n' Zip Job Address 3 - Community A ff Legal Description 1 s` Z. - U AJi Z 0 Assessors Map, Book & Page Type Structure Type of Soil As water available Road Dept. Plot Plan No. Type of existing trees in road right-oF-way------------ Trees preferred by applicant (1) G \T (2) (3) d Date 14' s- A® Owner's Signatu Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species `i Number of trees_ Spacing of trees — stance from lot lines: Front ' is LSide - Additional requirements Date Buildinj and Safety .notifi d Signat r.e Reason (attach additional page if necessary) Request for hearing: YES ❑ J Owner's Signature My (Forward application to Planning Dept. if exception requested) Planning Dept. i Concur' M Date Road Dept. NO REQUEST FOR HEARING Non -concur ❑ Explanation Signature Concur M Non -Concur Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Date hearing notice mailed to owner Approved' Disapproved M Date Owner notified of decision Date Buildina & Safety notified - Signature DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE "i4-"i0os 1.1rclkll OWNER -BUILDER INFORMATION Dear Property Own'er:,'.:t__ c_� n%.+F�_ �'-cc:`. An application for a building permit has been submitted in your name listing yourself as the builder of the property improVementstspecified:.:;r,� ngr;3 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 personal-ly-performing-their-own work.• --If your -work -is -being performed -by -someone -other than yourself, yourmay--protect-yourself-from-possible-liability-if-that-person-appl-ies"-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-_a_nd-,_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 aware of the following information' for your benefit and 'p'r'otection. -''r `'i If you employ or otherwise' engage an '-persons other than your immediate family, and the work (including material's* and- other costs) is $200 or more ,for the esti re.'project;'.and* suc4vpersons are not licensed as contractors or subcontractors, then you may be an employer., 6.. If you are an employer,,- you must .regis'ter •with -the state -and "federal government -as" an -employer and you are subject towseVeral obligations including state'and federal income-tax withholdi"ng;-federal social security taxes, workers' compensation insurance, disability -insurance costs, and unemploy- ment compensation. contributions.,,, There may be financial risks for you Wyou'do not carry out these obligations;,andt-these risks are especially serious with respect to workers' compensation .insurance. For more specific •infor"ination about your obligations under federal':'law, contact the Internal Revenue Service (and, if.'you wish, the U.S. Small Business Adminisiration):9i.For more specific'inf6Fration about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents:.. -_r i_ A ) 1 i t 3J ti :.', n tL ' o b j.. - 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 1•imited;conditions: A frequent practice of unlicensed persons professing to be contractors is to secure an."owner- builder" building permit;'-erroneou0-y'implying that the' property"-owner•isC'prov-iding his or her own labor and material' personally. `,.BuildinjJ-perm'its-are not`'requ"iced=to?be- signed :by+property owners unless they are performing their own work personally. Informati.on(about'.l i -tensed `contractors may. be, obtained, by,: ,contacti_ng� the,, ontraetorst ,S,tate License Board i;rr;your_'communi.ty,or;atr1020:!N,Street,: Sacramento,? Cal,ifor.nia;�95814.g E;zf9c Cf;WLr;yt"E �.�C "#ir.�l.., �•.1�3 ;. f-�'w'r+�',C+. !w C�'; 6'llabJ>�6 ;:ii.0•'iifi�' SC,�t:ill. Please complete and return the enclosed owner -builder verification form so that we can confirm that you areraware,ofythese.matters. The building permit will not be issued until the verification is re turned.t�+;;,ki,5L-J .. j:to� rf�t��J�.� �J3r""': Wa 7�Fi" p't3�3i2�y k: til, �nn ►, 1.�?"E 9i s)69t-5tici Sincerely, DEPARTMENT OF BUILDING AND SAFETY Leopoldo Rojo, Jr. Director 284-x001 7/80 u vV"'�•..nL:Y�3Ln - JI DEPARTMENT OF BUILDING AND SAFETY COUM OF RIyERSIQE OWNER -BUILDER VERIFICATION • Owner 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 (yes or no) 2. I (have/have not) 'IA1J. signed an application for building 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 H red the following person to coordinate, supervise, and provide the major work: Name .,� 1 .1��r�ST�'' ) �'%��.< <�c'i'. Phone / r, Address ;"/c.-; City Contractors License No: 5. I will provide some of the work but I have contracted•(hired) the'f61- lowing persons to provide the work indicated: Name Address Phone Type of work S'ignature:Property Owner Date 'Social Security Number 284-2002 7/80 '' 8 NOTICE: THIS IS NOT A "BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199 9/74, t CANARY—FILE, PINK -APPLICANT 'Owne eo cx N 54"' Architect Aln n �t47""tractor \1 IL V. CI.�iLFrA/tYC —� - atf/ P, V" -R V�/1nwt2'L�% Address Address Address_ City \wol U City -1 kk 19i City= Wal U Phone 3Tq S/O SS Phone -361r1- S %a Phone W 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 CountyR/W O - without. an encroachment permit. - - - - NOW, therefore, itis,agreed that I'(we) will not occupy said property and will not. cause said property to be c ed it -I (we) have ' complied with all laws of the County of Riverside and the State of 'California governing said.property.. s� �/'� DATE ` SIGNATURE OF OWNER AND/OR AGE Approval by Signature from the Following Departm is rsted. Below,' Must Be Obtained Prior to the Issuing of a Co ction Permit. (SPACE NO. I - ' I USE OF STRUCTURE �v > /;/ • JOB ADDRESS SINGLE FAMILY •DUPLEX DESCRIPTION Z H LEGAL OF APARTMENTS Q AGRIC. N N QMMERCIAL ' INDUSTRIAL' ❑ . GC COMMUNITY TERAT.IONS C, Z NO. OF SUBMITTED PLANS _ USE OF ERMIT H a CASE NO. p Z• NO. OF P ING SPACES REQUIRED — NO. OF BUILDINGS NOW.EXISTING Q /q�R/tC� _ .i ZONE �.Y\ ETBACKS: FRONT —SIDE 67/6- -REAR �" m GRADING PERMIT REQUIRED? YES 0 NO LOT.SIZE �� . SETBAC O DINANC N OF" FEET REQUIRED ON — STREET DATE SIGNATURE OF LAND USE OFFLCIAell f DEDICATION REQUIRED: YES ❑ NO ,_ 01111"NO. OF. FEET ANO W CURB AND .GUTTER REQUIRED: YES .&--NO ❑ _< STREET ,D-B��i– 2 3 d CAN _CURB AND GUTTER FEASIBLY BE INSTALLED? YES ffr" NO; ❑ W C HAS AN ACCEPTABLE APPLICATION BEEN. MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET .4 IMPROVE; T? ' YES NO �� °G"' PAT SIGNATURE SIGNATURE OF ROAD DEPT. OFFICIAk.G _. SWIMMING POOLS PUBLIC W SEWAGE DISPOSAL e>� bc�kay.. .yup r TlT-l W _ �o6K�`�� FOOD ESTABLISHMENT WATER POLLUTION REMARKS FLOOD CONTROL r W AIR POLLUTION W DIV OF HWY o a — YOUR PROPERTY. MAY BE.SUBJECT TO fa c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF "FLOOD. 284 199 9/74, t CANARY—FILE, PINK -APPLICANT _ DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE ^ PERMIT N Effective July1, 1980, Chapter 1301, Section 19825•of the Neilth 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.• [� 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 Thereby affirm that I am.exempt from the Contractor's License Law for the following reasons: \,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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). M I am exempt under Section B.&P.C. for this reason: Date Owner 0 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 w7 ...I6,VA,I J APriNrY,�li 0 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 permit 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). p Lender's NameAWL Lender's Address f.! W,0 r RP- a V DIVISION OF INDUSTRIAL'SAFETY PERMIT CERTIFICATION rl 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 i6 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.) 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 for whic I have applied for this permit for the purpose of making inspections. lgnature°of pp: !cant/gent Date / L. 6 f-� s-70 AJ l-rintNpp ice-nt/Agent Name 284-2000 7/80 1PERMIT -NO. 4131801, -.DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST - COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE., lob Address Spode Zip - wner , 4 NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST'FL. 2ND. FL. POR. ' rl GAR. CAR P. WALL r '" • - ESTIMATED CONSTRUCTION- y SO. FT. .4sw $ ✓ Valuation•']� /" S i+I�r✓ UNITS DFist. `.n y F�.C.C. sA�4 ,@ SQ. FT. @ YARD SPKLR SYSTEM Micro Film Fee Cop S SQ. FT.. @ MOBILEHOME SVC. BAR SINK Parcel .No. �'` � /� /`� ,! P,.Y' •! 1 �'� ""'�r' Z SO. FT. CO) POWER OUTLET ROOF DRAINS Ck. By SO. FT. @ �. DRAINAGE PIPING PI. Ck. Fee` '. S ' SO. FT. @ r �� qtr ' DRINKING FOUNTAIN Lot' Size Tom, :J f? V SQ. FT. @y'URINAL Legal Description jg^"� '�'/ VALUATION $• 33 d /` � WATER PIPING e �� NOTE: Not to be used' as property tax valuation Zone Restrictions SWIM POOL,'PVT Tye FLOOR DRAIN is MECHANICAL'FffS Pion a�ff swim POOL, COMM Final Date WATER SOFTENER Unit " VENT SYSTEM FAN EVAP. COOL-aHOOD Demol. Fee S - SIGN • ,� Supplimental Permit Numbers ° WASHER''(AUTO)(DIS'RP Ste! APPLIANCE DRYER �- Witness Fee g +' Owner/Agent - - -- GARBAGE'DISPOSAL FURNACE UNIT WALL FLOOR - SUSPENDED Address - City s , - Zip - - M.O. N.C. Q Cosh Check t • LAUNDRY_ TRAY ' AIR HANDLING UNIT "CFM licensaR ' ' 1 IDLE METER Sewage �{/.nom• 1 j 7 LL p _ KITCHEN SINK City J/^ Zip, !4 %tat./ ABSORPTION SYSTEM B.T:U. THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. 'CESSATION OF WORK verified by:' FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. - - . � . , • s r I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IWACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE'STATE OF CALIFORNIA. r TEMP USE RERMIT SVC �' WATER CLOSET COMPRESSOR HP y POLE, TEMP/PERM LAVATORY10 HEATING SYSTEM FORCED GRAVITY �`� �AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @` 4 BATH TUB 'tea SQ.' FT. @ 4 WATER HEATER 0 SD. FT. RESID ' @ 1 tV c SEWAGE DISPOSAL t • ,y�, SO. FT. GAR @ s/4a T HOUSE'•SEWER -�^• - GAS PIPING PERMIT FEE �`) .r f� PERMIT FEE 0 PERMIT FEE DBL. - TOTAL f,FES2 - MOB. HM. FEE MICRO. FEE MECH. FEb. PL. CK. FEE CONST. FE ELECT. SMI FEE 'FEE PLUMB.Az PERMIT 3 -715'.4 ��Vz*j'J N._'57 0 l Community •�'^C Valuation•']� /" S i+I�r✓ Dote �9�.�-"� DFist. `.n O F�.C.C. sA�4 MH Permit Fee S"� Micro Film Fee Cop S Use of Permit � (L `�r- G,f � • 6 _ Parcel .No. �'` � /� /`� ,! P,.Y' •! 1 �'� ""'�r' Z Use/Case No. 1 e Ck. By Mech. Fee, Dbl S s�ti PI. Ck. Fee` '. S ' Set .Backs Lot' Size Tom, :J f? V Construction Fee Dbl S Legal Description jg^"� '�'/ F ? j S . S � R ^Y few Electrical Feel. DbI $ Zone Restrictions Group F'3 Tye SMI Fee Plumbing Fee Dbl g Bond ATst. S-'(,�h�. Pion a�ff Plan Checker, « s� Final Date Inspector - Unit " Sp. Insp. Fee S Demol. Fee S - Const. Lender Branch _ Supplimental Permit Numbers ° Registr. Fee S Mileage Fee S Address City Zip - Witness Fee g Reinsp. Fee g Owner/Agent - - -- Tel. - ; Zip Total Fees S Address - City s , - Zip - - M.O. N.C. Q Cosh Check ,Received by 40 ••Con r f` 14N-- j,F ��(j'/ry (j�q v� �vF�/ ! r °•—! `i- Y t Tel. nr j i,•r' [�:i y f i licensaR ' ' Trees required. �,.` 4 Sewage �{/.nom• 1 j 7 LL p Address - , +J, /rr� ' .. {.�`I P-9 �+ CLjt.e �J /F ,. City J/^ Zip, !4 %tat./ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. 'CESSATION OF WORK verified by:' FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. - - . � . , • s r I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IWACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE'STATE OF CALIFORNIA. r ' Sewer District ` • • I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND 5PECIFICATION5 HAS DONE 50 IN - Form 284.208 (Rev. 1/80) _ t• ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF. THE STATE -OF CALIFORNIA. `