Loading...
426895 (PAT)BUILDINU NCKM11 PERMIT NO. 426895 CONSTRUCTION ESTIMATE I ST FL. SQ. FT. @ $ 2ND. FL. SQ. FT. @ I 'POR. A on SQ. FT. 'Y-9 1 GAR. SQ. FT. @ t CAR P. SQ. FT. @ `WALL SQ. FT. @ SQ. FT. @ } ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM FAN EVAP. COOL HOOD APPLIANCE DRYER FURNACE UNIT WALL FLOOR' SUSPENDED AIR HANDLING UNIT CFM ABSORPTION SYSTEM B.T.U. COMPRESSOR HP HEATING SYSTEM FORCED .P4 GRAVITY BOILER • B.T.U. FEE TOTAL FEES I MOB. HM.FEE I MICRO FEE DEPARTMENT OV BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN IDLE METER TEMP USE PERMIT SVC POLE,TEMP/PERM AMPERES SERV ENT SQ. FT. @ t ,.SQ. FT. @ C SQ. FT. RESID @11/.t SQ. FT. GAR @ '/. t PERMIT FEE PL. CK. FEE I CONST. FEE ELECT. FEE FIELD PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF' DRAINS DRAINAGE PIPING 4:1 DRINKING FOUNTAIN URINAL � - t WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO)(DISH) GARBAGE DISPOSAL LAUNDRY TRAY i KITCHEN SINK WATER CLOSET LAVATORY SHOWER BATH TUB WATER HEATER SEWAGE DISPOSAL HOUSE SEWER GAS PIPING PERMIT FEE I FEE FEE PLUMB. FEE E 16 i Water Piping 17 1 Rough Plumb 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Flnal SEWAGE SYSTEM SIZE & LOCATION Tank Pit L.Line REAR OF PROPERTY LINE P/L P/L STREET NAME PERMIT NO. 4268:-9,,5- 4 Job Address Space Zip Owner �,,,. r, 12, Communitylt-j r�°r . Valuation . Date+ Disf. Off. F.C.C., MH.Permit Fee Micro Film Fee Cop Use of Permit ,. �'�� L).w. Parcel No. ayo a � c' w. Use/Cose No. Ck. By' - Mech: Fee Dbl PI. Ck. Fee § Set BacksI Lot Size a , S S R ' F323 - Construction Fee Dbl E ,�.-. r� Legal Description +}-�•�,�„�y f Electrical Fee Dbl $ Zone Restricti s Group Type SMI -Fee $' Plumbing •Fee Dbl. $ Bohd Amt. $ Plan No. Plan Checker Final Date�y��� pector /�� Unit - f - Sp. Insp. Fee $ Demol. Fee ' $ Const. Lender - Branch., Supplimental Permit Numbers' Registr. Fee.•-' $ Mileage Fee $ Address - 'City - - Zip + ' (Witness Fee $ Reihsp. Fee' • $ Owner/Agent .`1 Tel. Zip Total Fees $ M.O. El N.C. El CoshEl Chat ress "`ter Add1 !� f r•^' .•�.urt"+'� _.A 8:..%, CitY ^ x. + Zip,. . , Received by, s Conir or - ! • - - ` Tel. r • License# •.-r Trees require Sewage System y _"• Address City ` , .Zip - + . T LL P Sewer District -Form 284-208 (Rev.8/78) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified 6y: , FOR, 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. p, ' I HEREBY AGREE THAT'AUL 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' NDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS -IAS DONE SO IN �'ql: ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE NSPECTOR ' NO. OPERATION DATE INSPECTOR - BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back d ®% 33 Ventilation Systern 2 Ftgs 8 Frms 34 Plenums 6 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 11 12 12A 13 Fireplace T.O. � Exterior Lath Internal Lath Drywall Finish Grade No ADDITIONAL INFORMATION INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 _ l Final PLUMBING APPROVALS ��.lW..�,,: ,k.,-•,w�✓„�.,_.. �;w.,..,., � .. ... �,r �� •9'�l.+i-.',:�L/'r',y.Itit . .r V � +.:. DEPARTMENT OF BUILDING AND SAFETY ?' ► APPLICATION CERTIFICATE . ,vCOUNT_YAOF 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 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. 3 3 'Z g T-3 Date "7///,P/ Contractor /—/Z d NQS �F2 /T'/A 0 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.). [v I am exempt under Section , B:&P.C."for this reason: Date 71/1k / Owner �] 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. ►7/Certified copy is filed with the County"off Riverside, Departmentfof Building and Safety. Datef/%f'% Applicant c ---`-T/[ 1X0 7 CERTIFICATE OF EXEMPTION 'FROM RM WORKERS' COMPENSATION INSURANCE;: r (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 ,perm/i!t" shall be deemed revoked. Date �/ y f Applicant,,` l�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 0 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 in 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.) r7 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 wv 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 which I have applied for this permit for the purpose of making inspections. Signature of Applicant/Agent Datei i NOT:CE: THIS IS NOT A BUILDING PERMIT DISTRICT / APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE / Lf4 K R/7 Ownerb�E itect --_ Contractor .. - �Q /Ar S AV Elti/I� l V���r Address �•�%�.�_���` �r//i/ Address L-- 14--U5�__ s 1 City /-U/NTS - C,/7 city-- _ CityPA'+LM S F__RT - Phone -S— .—_.._ Phone Phone _ cc 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 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 properly to be occupied until I (we) have complied withalllaws off the County of Riverside and the State of California governing said property. / SIGNATURE OF OWNER AND/OR AGEN ,/..O&x& DATE v -/--- Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. S/ Q� ` /� �% (I USE OF STRUCTURE �Uet JOB ADDRESS _/.__J Y�-` — SINGLE FAMILY DUPLEX n _ PROPE TY /� ���� LEGAL ESCRIPTION OF/z t- 166 APARTMENTS AGRIC. N Q COMMERCIAL INDUSTRIAL j '^ Q�QO Z COMMUNITY . ALTERATIONS NO. OF SUBMITTED PLANS USF OF PERMITLu J� V — H Q CASE NO. - O 0 Z NO. OF /PP R_KIN�G SPACES REQUIRED �y— NO. OF BUILDINGS /NOW EXISTING Q ZONE �`�SETBA(�KS: FRONT .3 d SIDE_/ � —REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBAW�DIN NCE # OF FEET REQUIRED ON STREET DATE� SIGNATURE OF LAND USE OFFICIAL - DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_ W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET t- oe a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O °C DATE SIGNATURE OF ROAD DEPT. OFFICIAI S SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL — su _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS FLOOD CONTROL— H z AIR POLLUTION t 2DIV OF HWY t— c a YOUR PROPERT MAY BE SUBJECT TO — o. c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. f*C, -ZONE YARD 1 --LOT AREA ____PARKING _DA' r .`�i O''DED LOADING YARD ---E!EIGHT BLDG. , YA D% "T C.OV'D. ILDA'r E- - =N, S_"BAC''' ^ 'DAPPROVSD YLAND USE DIVIS t TVA rill j �� Jai '/ � �/' _ '� / .r '�'' !' i � - _� _ _ t`.• - V�{i'� { S. 4 - �:. i COUNTY OF RIVERSIDO DEPARTMENT OF BUILDING & SAFETY,..,:. ETY Approval of th plans DATE e permiYfor, shall not be oonstru be fl►e provisions ofntheproval of, any viola'tlonah H D ens must be kept anftleob unMl l ws•' � 1fi13y ofaw ; 284-141 Rev. 6/77 BUILDING PERMIT , PERMIT NO. Y DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE, 42689 FIELD OFFICE DST,. -, CONSTRUCTION ESTIMATE. NO. ELECTRICAL FEES NO. PLUMBING FEES '+I I Si FL. SQ. FT. @ � UNITS 1 FT. ® MH.Permit Fee $ e • _ YARD SPKLR SYSTEM' Parcel No. , Olt 477,x-1 ) `� 2ND. FL.SQ. SQ. FT. @ �D 'Meth. Fee Dbl $ MOBILE HOME SVC. BAR SINK POR: GAR. - ,SQ. FT. @ Zone Restrict* POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Plumbing Fee Dbl $ Bond Amt. Plan No. r f $ DRAINAGE PIPING WALL SQ. FT. @. ' 'Inspector Unit DRINKING FOUNTAIN 5Q. FT. @ Const. Lender Branch Supplimentol Permit Numbers ..� URINAL .ESTIMATED CONSTRUCTION VALUATION' Address• - City Zip r WATER PIPING -NOTE: Not to be used as property tax valuation Tel. •_ Zip SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES City Zip - SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL - HOOD Tel. - •^`- �',; SIGN - WASHER (AUTO)(DISH) APPLIANCE DRYER C Zip �, GARBAGE DISPOSAL1 FURNACE • UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY ;r AIR HANDLING UNIT CFM IDLE. METER KITCHEN SINK t ABSORPTION SYSTEM B. T. U.' TEMP USE PERMIT SVC WATER CLOSET _. COMPRESSOR HP POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER j B.T.U. SQ. FT. @ < BATH TUB t - SQ. FT. @ C WATER HEATER S0. FT. RESID @1 he SEWAGE DISPOSAL S0. FT. GAR @ M. c HOUSE. SEWER r ' d ` GAS PIPING t PERMIT FEE • PERMIT FEE PERMIT FEE DBL. r TOTAL FEES MOB. HM. FEE MICRO FEE . 1 MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE .SMI FEE FEE PLUMB. FEE .,.....--.._�...--...-.�—.ti.•...,.•,F'-�.� - � ,.......•-.'.--,..,....._ �,- - ��--�.. - _ - ...-+ewe----r--•..+..+.*;o..t , PERMIT NO. 42 8 6 9 � Job Address Spoce 9 s. Ale ��//� Zip Owner Community ,, II � V6. Valuation Date Q/ $ +•� / DJist. Off. F.C.C. MH.Permit Fee $ e Micro Film Fee Cop $ Use of Permit ' • 9n;� L, Parcel No. , Olt 477,x-1 ) `� Use/Case No. Ckt By • T 'Meth. Fee Dbl $ PI: $ Ck. Fee Set Backs Lot Size°' , F33 S S R Construction Fee Dbl $ LegoI Description + '�C✓V• Electrical Fee Dbl $ - - Zone Restrict* Group Type. .� SMI Fee $ Plumbing Fee Dbl $ Bond Amt. Plan No. r f $ Pion Checker Final Doie �r ' �2. 'Inspector Unit Sp, Insp. Fee $ Demol. Fee$ Const. Lender Branch Supplimentol Permit Numbers ..� Registr. Fee $ Mileage.Fee $ ' Address• - City Zip Witness Fee' ' $ •Reinsp. Fee$ } Owner/Agent �^ - Tel. •_ Zip ,Total Fees $ - Address .•� •. ,'- '+�": City Zip - M.O. N C C sh Chec Received b - Trees required Con tr r - Tel. - •^`- �',; License# �,• . /J '$swage System D // Address �• s )� C Zip C'. T LL P THIS 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.' e '+ �! 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH t THE LAWS OF RIVERSIDE COUNT' AND THE STATE OF CALIFORNIA.' x r I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN a ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE•STATE OF CALIFORNIA. f Form 284-208 (Rev.8/78) ©s,_'-