Loading...
403892 (SFD)BUILDING PERMIT PERMfr NO. DEPARTMENT OF BUILDING & SAFETY FIELD 03892 COUNTY OF RIVERSIDE ` CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO, PLUMBING FEES 15T FL. 443 2ND. FL. AE' POR. GAR. 5 P j CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT..@. '" f � SQ. FT. @ SO. FT. @ SQ. FT. @ 7 SO. FT. @ SQ. FT. .@ SQ. FT. VALUATION $ i 1510 UNITS `•' Cyrfl &(AF P.r YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK �� ? POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN - URINAL •: G I'i $ .-}; p^ 7 r; WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL OOD SIGN WASHER (AUTO)(DISH) r4i, APPLIANCE DRYER s GARBAGE DISPOSAL ? FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER r KITCHEN SINK ABSORPTION SYSTEM B.T.0 TEMP USE PERMIT SVC r, WATER CLOSET L1 - COMPRESSOR i FV19 HP ,, POLE, TEMP/PERM C LAVATORY r th HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB ;; ^ r SQ. FT. @ c WATER HEATER {: 7 4,jCjp0 FT RESID @ 1'/,a �. SEWAGE DISPOSAL - �n Ct py 4{ SO FT. GAR @ 3/4a q� HOUSE SEWER GAS PIPING PERMIT FEE r 4 PERMIT FEE 7 PERMIT FEE :7) DBL.L TOTAL FEES MOB HM FEE - '�Z ][ -3? .-- MICRO FEE P.0 MECH FEE F- -'k PI CK FEE CONST FEE ELECT FEE SMI FEE FEE PLUMB. FEE PERMIT NO 403892 1a6 Address N pp 'i CP 1 5uocv ZIP .f� Owner �Z Comrnunlly i Volua4on § Dote Dist Off: F.C.0 MH Permit Fee § Micro Film Fee Cop S se of Permit 'ELLIN�� APd� ATT aA:iA��E Parcel No �`��'��>-a Us- Cnsv No. Ck. y ^" Mech Fee Dbl § I PI. Ck. Fee S t =ls Lot Size ! a Construction Fee Dbl S t7 � Legal Description Y O T 2 2 L �1 1 T.A ," 4 f L 1 N T e S •`I t o GAT F # 2 l! l '1 J F 5 S R Electrical Fee Dbl S 7 C. Zone Restrictions Group Type SMI Fee S E/ Plumbing Fee Dbl § r : M Bond Amt. $ Plan No- �" Q r 4 Plan Checker r, / r Fi Demo rpectm '^ �,,. Unit Sp. Insp. Fee § Demol Fee S Const Lender Br. N'ch SyppRmenfal Permrc Numbers 9r R �}� r-, r• F. ,7 k.'SL'l)P ��rF. Regislr- Fee § Mileage Fee S Address City Zip Witness Fee § Reinsp Fee S Ow er/Agent sm Tel. 3 6'3 Zip Total Fees I § ' Address v 1 y 0 X 4 ' ^ C:ty r gt Zip M.O. ❑ N.G❑ Cash ❑ Check Received by t i Contractor T�{, Licensee 7 r Trees required u f Sewage System .,-_ Address City Zip T U. P 1 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 5—et District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID, d ,I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH 1.,,e✓ THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA •~ li• -EBY _RTWY THAT—, HE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 4 / Form 284-208 (Rev. 1/80) E WITH SECTION 5541 OF TH6 BUSINESS -AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. W a 3WVN 13381S l /d l id S1t1A0SddV WDRUD313 3N11 ki?J3dO?Jd 40 "38 ­.1 S d41 NOI.LVJVI W 3ZI5 VVIlbAS 3JdM3S L l°uij 7C .,��naeS I IL uanlnl OE bwPuog . 96Z -- -YA 6uipun°l_) V6( 1 6uuihl 6L aw°�lug a��niaS 87, ] Z6 96 J!npuO) al°d 1o10d louij I sz a�i n�eS �alchl � EZ I �uuay�uS ia�nM LL ' �aloa�{ �aloM LC - II 1O5odsip abu—S 61 I r- syuaA JI r -2, 9wnld OnOB `LI buid!d jai°M 9I gwnld punonJ it —- - - sraAabaad- axlawrlTdr _ _ _ _: lou!j `ql u».°Ig) 6u�ial i'r �1B (slmu) sll°M 'dL lB '��v�' �'� anloA I I � �� �/ � / i(iio!41 NOI1V1f1SNl S - ° - i I 1gf ap°,9 ys!,!d eI ylo� �ouals3 II rr NOILYWaO3NI 1dNOI11Udt/ °N % � 01 a'°ld''":� "°I .ar �bp q �. lou!j Eq �p - _ j/} 1 d a ulda !j of P°olq lonyawwo:) Zq II°M any a6o�O�i I 6 aD!Aad uoq Palad aslowS Iq jadwod anj pq Gwui° j L a3uoyoal] IddV 6C 1-(j looH 9 I ,ossa,dwo:) gE I Swoag pu Og t ' j!V uogsngwo7 LE _ s1,o19 tno,e q slaR°O 8 slalul 9E Iaa1S C hodwo:) aD—nj SE I � aPo'o q°IS I VZ ' syand V swnuald qE 1 - -� ` suud 8 `F ld Z ways(S ualol!yuah E£ .� {f I J-9 IaS I 1 S1dAOHddfV IV:)IN`dH?3W S1`dAOaddV ONiaiin9 NOI1V83d0 a01�9dSNI 31VG NOI1V83dO ON ; 800� dSNl 31V4 O'd PERMIT NO. 03892 DEPARTMENT OF BUILDING & SAFETY . COUNTY OF RIVERSIDE - IDM AA/X'X0nn FIELD OFFICE 17T CONSTRUCTION ESTIMATE - NO. ELECTRICAL FEES NO. PLUMBING FEES Addres',— 7�{8.154 '' 1ST FL. 443 2ND. FL.4-51'SQ. POR. GAR. CAR P. ' WALL 284 • ESTIMATED CONSTRUCTION SO. FT. .@ 18.4 $1530.4 UNITS PERMIT NO. 403892 r FT. @ fYARD SPKLR SYSTEM ' _ SQ. FT. @ MOBILEHOME SVC. BAR SINK p r, M- SQ. FT. @ �l382 2 AP. POWER OUTLET ROOF DRAINS ` Dist. SO. FT. @ DRAINAGE PIPING F.C.C. SO. FT. @ DRINKING FOUNTAIN ' Micro Jm Fee SQ. FT. @ t URINAL Use of Permit - DWELLING AND VALUATION $ 4 WATER PIPING- 9� NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Construction Fee Dbl S MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER SMI Fee g 7 ! VENT SYSTEM 2 FAN' EVAP. COOL POOD SIGN • WASHER (AUTO)(DISH) rz APPLIANCE DRYER Plan Checker GARBAGE DISPOSAL Finol to — FURNACE UNIT WALL --'_fl, OOR SUSPENDED Unit LAUNDRY TRAY 50 AIR HANDLING UNIT - CFM, IDLE METER KITCHEN SINK Bron< ABSORPTIQN' SYSTEM B.T.U. _' TEMP USE PERMIT SVC WATER CLOSET Mileage Fee S COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY e. HEATING SYSTEM:3 FORCED GRAVITY 0, AMPERES SERV ENT 40 SHOWER �'' - BOILER ' B.T.U. SO. FT: @ a BATH TUB Total Fees $ ii,Address SQ. FT. @; a WATER HEATER !City ` Zip 0. FT. RESID @1++144 SEWAGE DISPOSAL f Contractor - ,,,' S0. FT. GAR @ 34a d HOUSE SEWER ` LicenseP - - 7e2,n API, GAS PIPING Sewage System PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES 5 MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE ._ -,lob Addres',— 7�{8.154 '' s i .. .. Space" Lp,' a . T4' PERMIT NO. 403892 Community T.A QTTNTAS Voluation p r, M- Date - ` Dist. Off. F.C.C. MH P.,4 Fee $5,r Micro Jm Fee Cop S Use of Permit - DWELLING AND ATT GARAGE 'Parte o. 6173f of ck Lot Size ' F S S R 2a^e Restrictions Group Type ` �� Mech. Fee Dbl S PI. Ck. Fee S Construction Fee Dbl S Legal Description - GS, 22. L& QUINTA GOLF #3.. . Electrical Fee Dbl S SMI Fee g 7 ! Plumbing Fee Dbl S Bond Amt. S Plan No. Plan Checker Finol to — Inspector Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Bron< Supplimentol Permit Numbers 2 Registr. Fee $ Mileage Fee S Address _.w++' /City Zip �... s�•�� ',�/,4 1// i r, 11..- Witness Fee S Reinsp. Fee $ Ow er/AgenT• - �'' - Tel. Z' Total Fees $ ii,Address ;, • Q _ !City ` Zip M.O. Cash Q Check Received by f Contractor - ,,,' - feel 7 LicenseP - - 7e2,n API, Trees required Sewage System AW*_ Address City Zip - ' (/Y LL P& THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION. OF WORK verified by: Sewer Distrix 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 1 ' ' THE - LAWS OF RIVERSIDE COUNTY AND THE STATE OF,CALIFORNIA. F EBY RTIFY THAT THE INDIVIDUAL WHO PREPARED THE, PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev, 1/80( A CE WITH SECTION 5541 OF THE BUSINESS AND. PROFESSIONS CODE OF THE STATE OF CALIFORNIA. DEPARTMENT OF BUILDING AND SAFETY .y APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N Effective July 1, 1980, Chapter 1301 Section 19825'of the Health and Safety Code requires the execu- tion of the following applicable deciaratioFis 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 fforce and effect. License Class - 1 License No. -,?Q O n Date Q OWNER-BUILDERCDECLARATION ~ dr I hereby •affirm that I amexempt 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;'6.&P.C.). [� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). [� 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 1 a11 certified copy thereof'(Sec. 3800, Lab. Code). Polity No. �-i �'- X.3 -)- Insurance Q Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant 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 bedeemed revokede__� - Date" -(X' +�0 ) IM /� 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). Lender's Name Lender's Address DIVISION OF INDUSTRIAL'SAFETY PERMIT CERTIFICATION L J 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.) Q 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 ro- gert - f�orr which I Ra�vej/%applied for this permit for the purpose of making inspections. 7 �c.T *K r�w`^_,/i r,(� ignaturev'of pp i.cant gents Date Print pp i:cant/ gent Name 284-2000 7/80 NOTICE: THIS IS NOT A BUILDING PERMIT r APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 7i WATER POLLUTION FLOOD CONTROL AIR POLLUTION DIV OF HWY REMARKS YOUR PROPERTY MAY BE SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. f ` CANARY—FILE, PINK—APPLICAN Own e �� �� rchitect�Contract 01.6 Addres ifl — Address %�J,� - !// Address % 9_S —` A �1 . a ser Cit City --/,O City / � c.r Phone' Phone,. Phone i 75 / ? s/ 1 (we) the undersigned, hereby certify and acknowledge that�'I (we) have read the application and agree that if Curb and Gutter, and oC 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 occupietil I ( have complied with all laws of the County of Riverside and the State of California governing said proper-t,y. / r C / v DATE SIGNATURE OF OWNER AND/OR AGENT - Approval by Signature from the Following Departments Listed Bel w '— Must Be Obtained Prior to the Issuing of a Construction Permit. Must I SPACE N0. 1 USE OF STRUCTURE JOB ADDRESS5 ` SINGLE FAMILY DUPLEX Z LE' AL DESCRIPTION OF PROPERTY APARTMENTS AGRIC. 0L l� COMMERCIAL INDUSTRIAL ❑ `^ C G—fv{ COMMUNITY . �„�LTERATIONS CJ SUBMITTED'PLANS USE OF PERMIT JT"�t�'" NO. OF — +� a CASE NO. ,�' p Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW E)� 11NG JZONE— SETBACKS: FRONT /'� SIDE o REAR m GRADING`PERIMIT REQUIRED? YES ❑ NO ❑ LOT SIZ 40 K 74 SETBACK ORDINANCE _— OF FEET REQUIRED ON �! STREET DATE -- SIGNATURE OF LAND USE OFFICIAL - EET__ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET--- F � CURBL e2 -ST-RZEJ- CURB AND GUTTER REQUIRED: YES ❑ NO ❑,}� '_!;21-7 H - a i - CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR AND STREET WI:AY IMPROVEMENT? YES C,_NO ❑ DATSIGNATURE I ROAD DEPT. OFFICIA WSEWAGE DISPOSAL l/!I� �T" =Adley AI 7i WATER POLLUTION FLOOD CONTROL AIR POLLUTION DIV OF HWY REMARKS YOUR PROPERTY MAY BE SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. f ` CANARY—FILE, PINK—APPLICAN RIVERSIDE COUNTY rT_PA;:FJN„ x T OF DiViSION OF ENW10NMENTAL HEALTH Food Establishment f Sewage Disposal Trailer Park'!; r `q jam: � _? JJ�— GA. Septic Tank Mosel, Apt., Hotel ! -, _' ""' . Sq. Ft. of LUach Line _ Dw. fling x Seepage Pit he Commercial Building Connection to Sewer Swimming Pool No on-site regenerating water softening devices may be discharoed into the individual sewage disposal system herewith spo::wed wit"."i out cicn�ance'trol ; the Wi�.icr Quality Control Board. Wat-cr supply serving this instailatisri must be from an a;.)rovad source. All sew7.n.a dis.:r..s:d installation mus" conform with requirements of current Uniform Plumbing Code. _ Any cutttr.g, gracing, or fiiiing in excess of four. (4) fcci will nullify sewage disposal approval. Approval his been obtaued from the Regional Water Quality Control Board for installation of the sew- age disposal system. This is to certify that the Riverside County Dar f Public 'ealth approves for occupancy, construction or installation the item(s) checked above. J Date— �Q By C RIVERSIDE COUNTY rT_PA;:FJN„ x T OF DiViSION OF ENW10NMENTAL HEALTH Food Establishment f Sewage Disposal Trailer Park'!; r `q jam: � _? JJ�— GA. Septic Tank Mosel, Apt., Hotel ! -, _' ""' . Sq. Ft. of LUach Line _ Dw. fling x Seepage Pit he Commercial Building Connection to Sewer Swimming Pool No on-site regenerating water softening devices may be discharoed into the individual sewage disposal system herewith spo::wed wit"."i out cicn�ance'trol ; the Wi�.icr Quality Control Board. Wat-cr supply serving this instailatisri must be from an a;.)rovad source. All sew7.n.a dis.:r..s:d installation mus" conform with requirements of current Uniform Plumbing Code. _ Any cutttr.g, gracing, or fiiiing in excess of four. (4) fcci will nullify sewage disposal approval. Approval his been obtaued from the Regional Water Quality Control Board for installation of the sew- age disposal system. This is to certify that the Riverside County Dar f Public 'ealth approves for occupancy, construction or installation the item(s) checked above. J Date— �Q By 1X W Z 3 O O�_* a O �O O >- Z �- O LL J_ Q m ad 0 z - Z F. za aw J � CL 0 >- Z�- OU. -J.4 S 'n m 41 es W ' "APPLICATION FOR TREE PLANTING I (we), the undersigned, hereby certify and acknowledge that I (we) have read the appli ' on 'an -4 agree that if trees are required under River- side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspgrcfion. It is understood that no final inspection will be given until said requirements have been met or exception has beep 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 stdkes can b`e-found. Further, it is agreed that the County of Riverside shall assume n"responsibility should trees have to be removed due to lot line errois. Owners Name son Building Per o. MailingAddress Ci State zi Job Address Legal Description.. IV Assessor's Map, Book & Page Type of Soil3l�ls water available _ Road Dept. Plot Ian No. Type of existing trees in road right-of-wo ' Trees preferred by applicant (1) � Date Owner's Signature Structure _2(�,��� (3) Planning Commission Case No. f/ 6/ ROAD DEPARTMENT APPROVAL Approved species Number of trees_ Spacing of trees Distance from 1 t lines: F ontc;? j LSide — Additional requirements �T7T7O 6 iZV� A(9- 4 ICI'rl /1/01v1 Ael i , Ili 1 rL n A, .`4- , /_/ ­% / , , Date Building and `Saf/ety notified ignattfr.e Reason Request for hearing: Owner's Signature YES ❑ REQUEST FOR EXCEPTION (attach additionad page if necessary) (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur ❑ Non -concur ❑ Explanation 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 Final Dote Inspector _ Job Address Requirements for tree, plonting complied with Remark s APPROVAL BY BUILDING INSPECTOR Building Permit No, Community (Detach and forward above information to Road Department Riverside) 284-230, REV. 1/74 s� I +f � i� i� �/. �,"` a i..,.r ��-- �� -. - .--� �,j ,,, , ,. `� ��., c';� `.� '�.