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00021924 (SATT)Zi TI IF�i N rii•{Nt`l:lry�ai '. MI) .:,� ., 1 7Dl.Jf1s dG�Jt7; a °9�IU"Y3 s�i 'k'i CA 9?26 0 i3 0 0 0 BOBISjEa(DRESSISPACE AVE II:At 1 4Y' Vf'4 xl "iCJO6i 11� i'�1 bA YS'o 4C+•AF:J ZIP 922530000 22530 0 0 0 7741. Pf�G_ 3 U12 f TWN V {9 W o U o S Yq�g�TO 0 0 3p TOTAL . FEE CA' pO (q g y �yq �p`�""2 pl `, o�:i%p!p�p/'�yApRu�9g7uQ: C2 p� ffWYyy"1��1Br�."Myd.¢pK�:.pJpE-RTai' DEV CO PHONE#. hr gNf V OW N 1' i� R 0 ��' q�c- LIaS til 5 4 3 6 Uks 1638 Pv4t2r4Uvr-9ErT GA 922600000 P/'T4-568-1,048 BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC 0 ADDRESS CITYICOMMUN ITYISTATEIZIP PLAN # . EXAMINER APPROVE DATE { yPPLANSS . ATT d'ppiWpw 1..roRM1T>I 9' Tq 1�g7ARAG -RIIN cE +`gg q�g�. p�p�D ' ZONE ORD N LOT SZ 0 t� 1 0 h l SIDS I Iv1. 2 PS 0 0` "'T 39870 t` TOTAL . FEE CA' CK NC COUNTER B.I. COUNTER L.U.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 6 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 IDA Fireplace T. 0. No ADDITIONAL INFORMATION j SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 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 PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Banding 30 Fixtures 31 Service 32 Final STREET NAME remmill ArrLICATION County of Riverside Department of Building and Safely 4080 Lerr,6 St. 2nd Floor 135 N. Alessandro Rd. Rm. 203 880 N. Slate Street 227 North "0" Street 46-209 Oasis St. Rm. 310 160 N. Broadway Riverside. CA 92501 Banning. CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 787-6146 Ph: 849.7312 Ph. 658.4464 Ph: 657.3898 Ph: 342.8271 Ph: 9222670 This permil becomes void it work not commenced within 180 days Irom dale a1 issuance. OR, it work has beer suspended oLabandoned for a period of 180 days. ❑ I I LICENSED CONTRACTORS DECLARATION: I hereby alfirm that I am licensed under provisions of Chapter 9 (comment: Ing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and elfect OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to life a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- mit subjects The applicant to a civil penalty of not more than live hunderd dollars ($500).): ❑ 1, 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 (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 does such work himself or Through his awn 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 of prov- ing that he did not build or improve for the purpose of sale.) ❑l, as owner of the property, am exclusively contracting with licensed contractors to construct the 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 contraclor(s) licensed pursuant to the Con- tractor's License Law.) ❑I am exempt under Sec. . B.8 P.C. (Attach Certificate). Date Owner WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is tiled with the County Building Inspection Department or County Department. APPLICANT NAME (L, F, MI) 17AN HORN MRs 16, , . ON I CA 922600000 1 A} Lam^" q O �Ftgl�@RESSISPACE AVE /7V Yf71C.AF:.•. of W76:�i' �(�i L.T C07rJM1u T{�T,�IZIP �t /y (� /� �y 53 V 0 V V �, I T %iM 4 i FCC 101 " CPO 0 In `i S N17T040{J Vb 147 R W3 I SB 436 4.VA l.Av *22 1 SLK -237 GNi 1t� DEV 4MA ERT p DEV CO PHONEp p®pN7yN�EgApNpA[�MgE1f►+.£�N A�/FP7'l iL1I•{►1',V�l/�" LIZ Cir y3'5436 S11yy3C�1'�Ss 1NJ638 �{pry� ` c'r� �+p h �y PTA121'IUi71C,SW 1 CA 22600000 7GI/-W!CL - 8— 1 A /18 3 1J "1 i� BLDG. INSPECTOR FINAL DATE ARCIIENG FIRM NAME UCNC p m ADDRESS CITYICOM M UNITYISTATEIZI P PLAN # PWS ER APPR VE DATE �- Z �L w��Q /��+ GARAGE l„Y�P�MIp& A 1 T GAQRAG$E giJ isV RS” Ot�V Vd g� OV'S F'�@� 0iU pF A. D — ZONE ORD (r LOT SZ 0 4EN. 0 0 q $(p6 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be ccn- pleted if the permit is for one hundred ($100) or less. I certify that in the performarice of the work for which tiis permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Complain a - lion Laws of California. Date _ Applicant _ NOTICE TO APPLICANT: ll, alter makinglhis Certificate 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. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: of hereby certify that no excavation five (5) or more feel in depth into which a person is required to descend. rill be made in connection with work authorized by this permit. and that no buildingstructure, scaffolding, falsewo'k, 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 n- dustrial Safety. as noted above, unless such person has a permit to do such work from the division. []Division of Industrial Safety Permit No. -_ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pert_r- mance of the work for which this permit is issued (Sec. 3097. Civ. C.). Lender's Name Lender's Address CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and s4te That the information given is correct. I agree to comply with all state laws and county ordinances relatingi to building construction, and authorize a representative of the County of Riverside. Department of Building and Sal -ly to enter upon The property for which I have applied for this permit for the purpose of making inspections. X Signature of Applicant or Agent Date Print Applicant/Agent Name NkT � TUN t ��.� ESTIMATED Ps- l)AT ; � 07/1 ,; a9578 PLAN REV FUE 141 off $151.77 CONSTRUCTION ESTIMATE (NSI' Et Mut to be s3-3ed as property Description PRIMARY DWL G FCC 101 Group R- 3 T'y�t e V.- S F t �`�'1 1 SECNDRY AIRCON 900 R-3 R 1211 SECNDRY PRIGAR 436 MI WD 1320 Est Plan Rev Fee based on Total Estimated Va lltn u4' TOTAL FEE J CA I CIX I NC COUNTER B.I. COUNTER L.U.T. PERMIT FOR oaTRUCTURAL PLAN (+ EIVIEW TOTAL PERMIT COST IS $151.77 CONSTRUCTION ESTIMATE (NSI' Et Mut to be s3-3ed as property Description PRIMARY DWL G FCC 101 Group R- 3 T'y�t e V.- S F t �`�'1 1 SECNDRY AIRCON 900 R-3 R 1211 SECNDRY PRIGAR 436 MI WD 1320 Est Plan Rev Fee based on Total Estimated Va lltn u4' FORM 284.208(11-81) INSPECTOR valuation) Rate Valuation $2.20 +S2664 t9 . 10 $1,29 12- 9s38yY9 is t $151.72 W 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 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. NO ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior lath 12 Internal Lath 12A Drywall 13 Finish,Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb le 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 R P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME Receipt No. ��/ r 7 Issued By S , District: Riverside ❑ Indio 0' Hemet ❑ Date DISTRIBUTION: WHITE - Office File YELLOW - Applican= PINK - Building Dept. GOLDENROD - Attached to Plans DOH SAN 122 (New 10/81) RIVERSIDE COUNTY DEPARTMENT OF HEALTH APPLICATION FOR PERMIT TO INSTALL A RESIDENTIAL SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to the specifications required on the atta- check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payabl County of Riverside. Name r Mailing Address ��- Q City State Zip Code Phone I'- V 'Property Address 'City or Community `Legal Description of Property LU N h 'Assessors Parcel No. } Water Serving Property From 7- 1117 Signature of Date ' 'The above information mt.st be verified from Building Application Staff Use — Dc Not Write Below This Line Initial Date Soils feasibility report required Yes ❑ No O Detailed boring report required Yes ❑ No Detailed contour plot required Yes ❑ No [D m Z Soils or boring report. by Date O V Approved by Date LU -0 y Soils Map Page Soil Type Tract File No. Other vv 1 Number of Bedrooms Septic Tank Size (gallons) Rate Required (sq. ft./100 gal or gal: sq. ft./day) 0 Leach line sq. ft. of bottom area trench Leach bed (sq. ft. of bottom area bed) Seepage Pit Diameter Seepage Pit Vertical Feet Number of Seepage Pits Maximum Depth of Pit 61.4 /1/, r ►_ J Location of System" Additional Requirements A permit is approved/,denied for the installation of a subsurface disposal system as indicated on the accompanied Z plot plan using the requirements set forth in Section C above. OLU, U) Signature of Health Official Date Receipt No. ��/ r 7 Issued By S , District: Riverside ❑ Indio 0' Hemet ❑ Date DISTRIBUTION: WHITE - Office File YELLOW - Applican= PINK - Building Dept. GOLDENROD - Attached to Plans DOH SAN 122 (New 10/81) LU z 0 s R APPLICATION FOR TREE PLANTING' I (wef,' 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 responsibility should trees have to be removed due to lot line errors. Owner's Name 'T Buil Mailing Address - City Job Address Comm in y Legal Description Assessor's Map, Book & Page �! �7� !�3 — Type Structure _ Type of Soil s4aw- / s water available Road Dept. Plot Plan No. Type of existing trees Yvhn/ road right-of-way Trees preferred by applicant ( 1) �� (2) �� Date .7_ Owner's Signature Planning Commission -Case No. ROAD DEPARTMENT APPROVAL (3) Approved species Number of trees Q W Spacing of trees Distance from lot lines: Front Side Wo Additional requirements 0 >- Z F W OLL J_ Q � N m cd 0 z . z~ za aw J � a _Zt- UJ 0 LL J Q m.6 Date Building and Safety notified Signature REQUEST FOR EXCEPTION Reason Request for hearing: Owner's Signature Planning Dept. Concur ❑ Date Road Dept. Concur Q Date YES ❑ (Forward application to Planning Dept, if exception requested) NO REQUEST FOR HEARING Non -concur f-1 Explanation Signature Non -Concur ❑ Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Date hearing notice mailed to owner Approved F-1 Disapproved F-1 Date Owner notified of decision Date Building i3 Safety notified, Signature APPROVAL BY BUILDING INSPECTOR (attach additional page if necessary) Final Date Inspector Building Permit No. Job Address Community Requirements for tree planting complied with Remark s 284-230, REV. 1/74 (Detach and forward above information to Road Department Riverside) J T NAME MI) N4Ji (4, _,I(iMgqpr'((fii�SS g Ay PTV)(j2TjUjXSjArffT C:A 'ez4)0tloao dL•)B�DORESSISPACE VAL EPO' AVEP4Y �7 CiA� C�.l•IT�LCOt�lllfE�7ilgT(,AzIP 92253 0000 0 0 0 1 � �].}� QW��. TWN :60o Vo' S VA6TQ 0 0 0_ `�� t 1:.. WWI, SB CA �g w( . �q��»«l.Mo ,.. •A Fo�4F:•Q��y 1�90 pG�i y+ ��yJ{j••1s�Vi CO {f�"QpP1'�7(1�,g-Mj®MSE¢��HGj�.ib!}f«�+'I+YT[�D� !)EV CO . PHONE# N f"IWi'1i8 a7/,,_/� LICN354: ,- gg6/gqppW��i��'�g$]i`��gi{,i1V .�Slllls d 38 P'At2RuW—rIVWT CA 9226100000 PPT** 5613U •1 f7 413 3 "'f {e7 BLDG. INSPECTOR FINAL,DATE "ARCIENG FIRM NAME LICNC # , ADDRESS CITYICOM MUN ITYISTATEIZI P PLAN # PLANS EXAMINER APPROVE DATE P MI 1ypAT T Cn A@R� ACI$�$g '@� �yS '1Io ,R-8 N• M. �11 i $$gp HIS � f q�� Ml if OTU. - � p Cg}� .I,F ID ' • ZONE ORD # • -LOT SZ tfpfYV4"'719124 XP�f 07/1aATa2 % 39574 TOTAL . FEE ,. CA CK -. NC COUNTER B.I. - COUNTER:L.UIT-. APPLICATION FOR STRUCTURAL PLAN REVIEW 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 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. ❑ P' ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 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 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