Loading...
413113 (PLBG)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 13113 COUNTY OF RIVERSIDE FIELD V CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES . 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Dote ,�•r ~ sJ •�(% 50. FT. @ YARD SPKLR SYSTEM Off. SO. FT. @ MOBILEHOME SVC. BAR SINK MH Permit Fee § 50. FT. @ POWER OUTLET , ROOF DRAINS Cop S SO. FT. @ DRAINAGE PIPING ParcelNo. �J /; r^� / 7 41/ v 0Com` SO. FT. @ DRINKING FOUNTAIN No. 50. FT. @ URINAL Mech. Fee Dbl S VALUATION $ WATER PIPING Set Backs NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Legal Description � �, / � 's � 4 � r! IJ'..F- t, MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Electrical Fee Dbl § VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Type APPLIANCE DRYER Plumbing Fee GARBAGE DISPOSAL nd Amt. S FURNACE UNIT WAIL FLOOR SUSPENDED Plan Checker LAUNDRY TRAY - InI for /(N7.Ch/ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Demol. Fee ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY Witness Fee § HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER Tel. BOILER B.T.U. SO. FT. @ a BATH TUB $ ddressI/ /• c / " y. SO. FT. @ a WATER HEATER M.O. .C. ❑i Cash C] Check Received b 50. FT. RESID @ 1 U<a SEWAGE DISPOSAL Liccennsse# / Trees r � �„f "7r+ S0. FT. GAR @ Y44 HOUSE SEWER Address �f %r �� i' l ! sem''• r City /c.. i1 ,s F !C, Zip rf �• / GAS PIPING j PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAFEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FE -- PERMIT NO. 413113 lob Address - r Space A— ' �� tic � c'��Tr� �� � Zip A��' Owner x�����s•�.�%v Community �+ ;%, iy / i9 / Valuation S Dote ,�•r ~ sJ •�(% Dist. 17 Off. F.C.C. MH Permit Fee § Micro Film Fee Cop S Use/of Permit �+- y` -.1r'• .� . • �':' I cl r.%4✓L !'� ParcelNo. �J /; r^� / 7 41/ v 0Com` Use/Case No. Ck. By Mech. Fee Dbl S PI. Ck. Fee § Set Backs Lot Size Construction Fee Dbl S Legal Description � �, / � 's � 4 � r! IJ'..F- t, F S S R Electrical Fee Dbl § Zone Restrictions Cf "• Group Type SMI Fee S Plumbing Fee Dbl S ` nd Amt. S Plan No. Plan Checker Final Dotpe, pp / a� InI for /(N7.Ch/ Unit Sp. Insp. Fee § Demol. Fee § Const. Lender Branch upp mental Permit Numbers Registr. Fee § Mileage Fee $ Address City Zip ' Witness Fee § Reinsp. Fee § Owner/Agent.' Tel. Zip Total Fees $ ddressI/ /• c / " y. City Zip M.O. .C. ❑i Cash C] Check Received b l Contractor /feI '� G /. ;< er+- Tel. Liccennsse# / Trees r � �„f "7r+ Sewage System "+ Address �f %r �� i' l ! sem''• r City /c.. i1 ,s F !C, Zip rf �• T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified Eby: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. �i 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. H ERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 t6Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. t ., 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 Slob 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. 0. El °o ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE 8t LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 12C Ceiling (B own) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Wafer Heater 22 Water Softener 23 Water Samice 24 zs Gas Test Final a�-°- Tank Pit L. line 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 DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner Architect Contractor 21ALt Address JAddress___ Address City � �- City—_ City_ 4 - ' �� /� Phone C cc 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 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 occupieduntil I (we) ave complied with all laws of the County of Riverside and the State of California governing said property. r DATE.-- --- SIGNATURE OF OWNER AND/OR AGENT le_ — Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. 5 I SPACE NO. v� I USE OF STRUCTURE ►„�V 4'T I JOB � ADDRESS J—_011. -- SINGLE FAMILY DUPLEX LEGAL DESSCCRRIPTION OF PROPERTY �! _/ � Z t- � APARTMENTS AGRIC. 0 Q COMMERCIAL INDUSTRIAL '^ COMMUNITY . 4 A _+.oq L�ERATIONS n Z NO. OF SUBMITTED PLANE — USE OF PERMIT jCASE NO. p Z NO. OF PARKING SPACES REQUIRED .— NO. OF BUILDINGS NOW EXIST] _ Q _0 ZONF/'�SETBAeKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES 0 NO ❑ LOT SIZE SETBACK t5DINANCE OF FEET REQUIRED ON STREET DATE _� SIGNATURE OF LAND USE OFFICIAL t- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— W CURB AND GUTTER REQUIRED: YES ❑` NO ❑ STREET 1 F- a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D QO IMPROVEMENT? YES ❑ NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL _ SWIMMING POOLS PUBLIC Q W SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS FLOOD CONTROL h z AIR POLLUTION W = H DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO �� c• _. FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APDLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT # Effective July 1, 1980, Chapter 1301 Section 19825,of the Health 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; - IS 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 . 9-1 License No. �l/� L/ Date 17101 L,9 Contractor I10d Z �„•ti,�l//, , Q OWNER -BUILDER DECLARATION I hereby 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.). IMI Date am exempt under Section B:&P.C. for this reason: [�] WORKERS' COMPENSATION DECLARATION 1 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 [J Certified copy is hereby furnished. EJ Certified copy is filed with the County of Riverside, Department of Euilding 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, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation lews of California. I further understand that if after making this Certificate of Exemption, i Ihouid become subject to the Workers' Compensation provisions of the labor code, I must forthwitVcomply with such provisions or this permit shall be deemed revoked. 1 �j���/ Date 1 L/l.Qn Applicant if�i C 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 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 thi3 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 count ordinances relating to building construction, and authorize a representative of thg County of"Riverside, Department of Building and Safety to enter upon the pro- perty for'whirch%I have p'lie'd ford this permit for the purpose of making inspections. Signature of pp icantJ gent lsrintApplicant/Agent Name 284-2000 7/80 BUILDING PERMIT PERMIT NO. 413113 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE/ -1 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Owne. ' Community '4 SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS Dist SO. FT. @ DRAINAGE PIPING F.C.C. SQ. FT. @ DRINKING FOUNTAIN Micro Film Fee SQ. FT. @ URINAL Use of Permit j '4 3 VALUATION $ WATER PIPING ParcelNo. .ry ` / ^' /7 � — 0;2 NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Mech. Fee Dbl S MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER lot Size VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) F APPLIANCE DRYER R GARBAGE DISPOSAL Electrical Fee Dbl S FURNACE UNIT WALL FLOOR SUSPENDED Group LAUNDRY TRAY Type AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK nd Amt. S ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY Sp. Insp. Fee S HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER Branch BOILER B.T.U. SO. FT. @ a BATH TUB Registr. Fee S Mileage Fee S SO. FT. @ a WATER HEATER Reinsp. Fee § SO. FT. RESID @ I t%c SEWAGE DISPOSAL Tel. S0. FT. GAR @ 3/4a HOUSE SEWER Total Fees $ ddress V f f / GAS PIPING City PERMIT FEE M.O. .C. Cosh Q Check PERMIT FEE PERMIT FEE 5zocC DBL. TOTAL FEE, I MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLcM FEE—' PERMIT NO. 413113 Job Address - (JX J !✓/ Space � /// r= -- Zip Owne. ' Community '4 -/ j% �V+g r Valuation S Date Dist Off. F.C.C. MH Permit Fee S Micro Film Fee Cop S Use of Permit j '4 3 .� f N 7'U u�a� rr ParcelNo. .ry ` / ^' /7 � — 0;2 Use/Case No. Ck. By /.,,� ''r . Mech. Fee Dbl S PI. Ck. Fee S s Set Backs lot Size Construction Fee Dist S % �' Ci r 'r '^� /y� Legal Descriptionr LlJ "' C . c{ e" } F 5 S R Electrical Fee Dbl S Zone Restrictions � / / Group Type SMI Fee S Plumbing Fee Dist Is �.. nd Amt. S Plan No. Plan Checker Final Dote /Z —91- �j Ins actor',& Unit Sp. Insp. Fee S Demo$. Fee S Const. Lender Branch Supplimentol Permit Numbe s Registr. Fee S Mileage Fee S Address City Zip Witness Fee § Reinsp. Fee § Owner/Agent 1 Tel. Zip Total Fees $ ddress V f f City Zip M.O. .C. Cosh Q Check Received Contractor ,r, / v / L�r'l ,/ 1� ' '� r ft,,.. Tel. /✓ f / LicenseR /G' G` Trees Sewage System Address City Zip T LL THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District 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. G[/l Gid' y/�[ I F CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-201 (Rev. 1/80) / re-eWITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: