403724 (SIGN)BUILDING PERMIT
PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD DST {
0
3724 COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES i
1ST FL.
2ND. FL.
FOR.
GAR.
CAR P.
WALL
$TI-AA'T00 66,rWRUCTION
SO. FT. .@ $
UNITS
Space
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SO. FT. @
DRAINAGE PIPING
SO. FT. @
DRINKING FOUNTAIN
SO. FT. @ L
URINAL
VALUATION $ J C f
WATER PIPING
NOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER 1
VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE DRYER
�✓� / `J t..
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
—
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM B. T. UL
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY [
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ a
BATH TUB
Ian Checker
SO. FT. @ a
WATER HEATER
Inspector
S0. FT. RESID @114c
SEWAGE DISPOSAL
Sp. Imp. Fee $
50. FT. GAR @ 3/4c
HOUSE SEWER
Const. Lender
Branch
GAS PIPING
PERMIT FEE t
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEES
MOB. HM. FEE
MICRO FEE MECH. FEE
PL. CK. FEE
CONST. •FEE ELE24. �E2
SMI FEE
FEE PLUMB. FEE
PERMIT NO.
403724�-
Job Address
f,
Space
Zip
Owner
,
om unit
r s
/
/ % , / , ..% ti
/ e
u6�d'
$ •`�
)
L
a
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Off.
F.C.C. f
MH Permit Fee $
Micro Film Fee Cop $
U e of' ,,,,,i% ✓ /,.�(/'
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Use/Cos
Ck. By
Mech. Fee Dbl $
PI. Ck. Fee S
Set c
F 5 5
Astrictions
—
Lot '
R
../° `/ •")
Construction Fee Dbl $
Deuriptiun
/ s a
r
c%
Electrical Fee Dbl $ '�""�/�..
Zoe
Gro p
Type i ;
4Le,al
SMI Fee
Plumbing Fee Dbl S
nd Amt.
'Won No.` �'
Ian Checker
mal Dote-
7d _z-P—PQ
Inspector
Unit
y
Sp. Imp. Fee $
Demol. Fee $
Const. Lender
Branch
Supplimental Permit Numbers
K
Registr. Fee $
Mileage Fee $
Address City Zip
'
Witness Fee $
Reinsp. Fee $
Owner/Age r
'
Tel.
Zip
Total Fees $
�••�
Adores
sff'l '� c J ,J
% )
City
J
t
Zip
M.O. N.C. 0 Cash Q4�e y
Received by ,,�
�
Contractor
Tel. !
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1
LicenseN a•
Y
Trees required
Sewage Syste ,t
A s (;Y, Z 7&PC
Y
Zip
ILL F P��. MEOI�.. ... ."......,. ..�..•,....... .T...n.. - ve lee ey. t
Sewer District \ FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOVD.
J •1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH
'4 L• THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.•(��'
Ys'.
I FEREBY CERTIFY THAT.•THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
�J COR NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA."
Form 284.408 (Rei. 1/80) - r �.
NO.
t OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
1
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Bock
33
Ventilation System
2
Ftgs 8 Frms
let=
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.
E]
43
Final
10A
Fireplace T.O.
°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 (Blown)
14 Final U—�
e__ 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
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final 0 `off 6 d
STREET NAME
Polo Sign
1 At " %PoYS LO foHL7�G L41 Qr/lh/.?
Ale~ 4"o
At —,90.3 w /L�eisr S� - '�'sss✓yrim -* amu/
}II 54t�t — Elevation — Ddtails -- rvotcs — Cbrculotions
A�THUA L.13ERGSV, P.
CIVIL ENGINEER
3273 It*. H=ftNo Aro., Coeinc, C�!d�. �}
ED 1-13„^3 C-11422
+++� lntcrior rtrufa ct V-00 Mott. rgrut=ry �—
1 sttyt orwos at ouch —� +
tido of Palo and at
a oxen and (add Intcr. �1
Tyaical,Wold for atruts as roqd. ),
Cdnt/novo L awdo
}L ERJ4l TES & SPECIFICA'VIQ 'S
1. ENGINEER is responsible only for the structural
Integrity of this project. Any altoration will void
this cheat.
.2, CONTRACTOR shall verify all dimansionsand
conditlons at the site before starting work.
3. ININD LOAD (1?o asf.For ease of computation
reduoc by % cnd treat as static load.
I! ' 4. SHEET STEEL for frames (and/or fac*s) shall be i
24 ge, min. ('Palnt-Loc' or equal).
£t 5•. PIPE shall bo.A.,S.T.M. A-53 'Grade B'.
6. STRUCTURAL STEEL shall be A-7 or A•36.
fetal less than Y," thick shall be galvanized.
1_ WELDING shall Conform to all applicable bodes.
�+
Use 'cortified welders': No atntoturat.field ►veld.
B. CONCRETE tray be any mlx approved by the
Bldg. Dept. (Alin f' K Z= psi). Pour against un --
disturbed soil.
9, PANELS shall be approved by tNe Underwriters
Ltboratory .Plastic shall be of an approved type.
-Po1b p' Sian Icat;h Polo)
Item
Area Psf
Parm
Mornant
t%fit/off 5c /S•o
950
/7.r
/,x/,30
E
830
/G.,li
/.37.J'o
Min.
►,
PiAo of alt - Grades
' Abutinp rQn - - OUaC p LA C&
Soil assumod
A.L.S.R = Psf
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oatuol sail Crostur, a (psfl
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COUNTY OF •RIVERSIDE - sr6a
° •DEPARTMENT OF.
M
& SAFETY
!s,
I
c. DATE t
7r
APPf� al of these Planro al off, not violation of any of
N permit for, or an app
n the rovisions of the state or county laws 8rnHl6A
p is must be kept an the lob until _
14 ...�..,.._....,a� ..__..�...._. _ ......:
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t
76
, L0QUG--
jp
10
i
zow , COU RTMOP R OF RSID '
DEP) YSAFETY
- APP ED
• i 8 ATC nstrued to bl -
al of these Piers va aof not be.
ApWd+ an apPrO eourity laws oThll SW
. 1F�mow �fe job until
completion.
• 94
ONTARIO
Co. ,
• - ✓,' «.� ep`, - w • �- 'f _ • 303 W. MAIN 57
_ f
+ _
ONTARIO. IKRNIA 91761
e+lr,�.�.talreo�..�, saeoaR, o
/ — = A
..RIVEkSIDE COUNTY PLANNING DEPARTMENT
County Adm'inlstration Center
4080 Lemon Street
Ninth Floor
Riverside, CA 92501 DESERT OFFICE
46-209 Oasis Street
Room 304
Indio, CA 92201
APPLICATION FOR PLOT PLAN APPROVAL
Section 18.30, Ordinance 349
DATE STAMP
;1. Y.
INCOMPLETELY FILLED -OUT FORMS AND INCOMPLETE AND/OR INACCURATE PLOT PLANS WILL NOT BE
ACCEPTED.
Applicant's Name Oil Id rJ, o AIea P1 CO.
Mailing Address 'J O 3 Lr/, n1 d h sf. OP7 f a r,'0, C� l
Street City
C� li rr•,o 97/7 SG 98G—`AC 3
State Zip Code Telephone -5 p.m.
Owner's Name 1 e (,ue 19 s
Mailing Address 1�914ti,d� CL J,-6-2
Street City
State Zip Code Telephone -5 p.m.)
PROPOSED USE FOR PLOT PLAN-rc%,-f,' F i'GJ-t: S�j h am,. c✓L c 0 ferry
Exact legal descr-iption of property (as recorded in the Office of the County Recorder)
(may be attached)
7G 5- 2 G Z -G�2 .57
-- 2.3 k" 2 7- a 3 d z
CCS
Assessor's Parcel No.
Location of property (Street Address, etc.) 7,9,0.2-5- dgk-,er�.CJj
Lo
SIGNATURE OF APPLICANT//2. DATE
• -r—
SIGNATURE OF OWNER �L� DATE
(Letter of authorization ay be attached
*STAFF USE ONLY
Di strict/Area �, A Zone GAS
General Plan Area
Land Use E1-ement_. :1�_&,l 0h.�,f%v� �
Open Space/Conservation(1V-'-:P-(�,f,) F1F"
Rel ated File
Geologic Hazard Zone
GMC/dms
12-79
18.30
Pl of P1 an �5- 75 3
RIVERSIDE COUNTY PLANNING DEPARTMENT
County Administrative Center
4080 Lemon Street, 9th Floor
Riverside, California 92501
Conditions of Approval:
On -Site Advertising
18.30 ( C -P -S ) Plot Plan No. 5753
1. The development of the premises shall conform substantially.with that.as
shown on plot plan.marked Exhibit "A" on file with 18.30 ( C -P -S ) Plot
Plan No. 5753
2. Advertising as approved shall conform with the provisions of Section 19.4,
Riverside County Ordinance 348.
3. Any outside lighting shall be hooded and directed so that it.does not shine
directly upon adjoining property or public rights-of-way.
4. This approval shall be used within one year from this date of approval;
otherwise it shall become null and void and of no effect whatsoever. By use
is meant the beginning of substantial construction contemplated by this
approval within the one-year period which is thereafter diligently pursued
to completion, or the beginning of substantial utilization contemplated
by this approval. In the event the use permitted hereby ceases operation
for a period of one year or more, this approval shall become null and void.
By Date
AG NT;
I have read Uthhee conditions nd understand them and agree prior to*the use of
this-approvacomply wi athe established conditions.
Signed Date
PD 77-39
SGM: rws
7-77
N
DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE
COUNTY OF RIVERSIDE PERMIT k
Effective July•l, 1980, Chapter 1301, Section 19825,of the H$ilth 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 , f Com"—"..S~ Licei set No.
Date /;Z/u e) Contractor
Q OWNER-BUI DER DECLARATION
I hereby -affirm that I amexempt from the Contractor's License Law for the following reasons:
Q 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.).
I am exempt under Section B.&P.C. for this reason:
Date Owner
ED 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. 33800, Lab. Code).
Policy No. Insurance- �Gc-� � J
0 Certified copy is hereby furnished.
� =! Certified copy is filed with the County of� J verb e, epartment of Building and Safety.
Date / � A) R*/ Applicant .f� 2
CERTIFICATE OF EXEMPTION FRO 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).
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 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.
M Division of Industrial Safety Permit No.
Date //' /lJA0 pplicant
CERTIFICATE OF-COMPLIARCE 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
represe to ative_of�t,he 5punty of Riverside, Department of Building and Safety to enter upon the pro-
per.y fo� hick hav applied for this permit for the purpose of making inspection
�C� c
S`ignSture f Applicant/Agent Dates /
284-2000 7/80
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
DISTRICT / ( r•
Permit No
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner !, vim? gS Architect----. --_ Contractor_04y-2'_')e-'_" Gam.
'7sv.-2� rt' -9
Address___ Address
Address% _
City City-- City- .! f✓��—
Phone Phone _ Phone—
Ix
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 Dedicaticn of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
3 ti
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 .s agreed that 1 (we) will not occupy said property and will not cause said pro rty to be oc until I (we) have
complied with all laws o' the County of Riverside and the State of California governing said property
DATE SIGNATURE OF OWNER AND/OR AGEN --
Approval by Signature from the Following Departments fisted B low
Must Be Obtained Prior to the Issuing of a Construction Permit.
1✓s� I SPACE NO.
/gip rj 1�1 USE OF STRUCTURE
JOB ADDRESS q� s�j
- SINGLE FAMILY Ej DUPLEX
>
LEGAL DESCRIPTION OF 7a��7,�5
zf
o ujLors
APARTMENTS E] AGRIC.
2-1, ZZ-, ::32
---��--`-�- COMMERCIAL
sn Q
INDUSTRIAL L,
C C
COMMUNITY
CALTERATIONS ❑
Z
Q
NO. OF SUBMI TED PL �f�
USE OF PERMITUA
f
CASE NO. -3
j tD
C Z
NO. OF PARKING SPACES REQUIRED— / / — NO. OF BUILDINGS NOW EXISTING -
ZONE C P SETBACKS: FRONT / p SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORDINANCE # _— OF FEET REQUIRED ON _ TREET
DATEr�®SIGNATURE OF LAND USE OFFICIAe2<---
F-
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
-z
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
H
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
W :
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
CIMPROVEMENT?
YES ❑ NO ❑
°C
DATE SIGNATURE OF ROAD DEPT. OFFICIAI
SWIMMING POOLS PUBLIC
QW
SEWAGE DISPOSAL
_
S
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
FLOOD CONTROL—
H
z AIR POLLUTION
cg
_ DIV OF HWY
H
c a — - YOUR PROPERTY MAY BE SUBJECT TO
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
1PERMIT NO,
403724
DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST
COUNTY OF RIVERSIDE -
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.
2ND, FL.
FOR.
GAR.
CAR P.
WALL
4////
T�M D C RUCTION
SO. FT. .Qn $
UNITS
am o�ity
SO. FT. @
YARD SPKLR SYSTEM
SO. FT. @ MOBILEHOME SVC.
BAR SINK
SO. FT. @ POWER OUTLET
ROOF DRAINS
SQ. FT. @
DRAINAGE PIPING
r
SQ. FT. @
DRINKING FOUNTAIN
SO. FT. @
VALUATION $ -
URINAL
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 HOOD
SIGN
WASHER (AUTO)(DISH)
APPLIANCE- DRYER
°i� 4.0
GARBAGE DISPOSAL
FURNACE UNIT WALL 'FLOOR SUSPENDED
-
LAUNDRY TRAY
AIR HANDLING UNIT CFM
• IDLE METER
KITCHEN SINK
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 ', B.T.U.
SQ. FT. @ a
BATH TUB
•
SQ. FT. @ a
WATER HEATER
` -
S0. FT. RESID @I r/<a
SEWAGE DISPOSAL
S0. FT. GAR @ 3/<a
HOUSE SEWER
•
Branch _
Supplimentol Permit Num
GAS PIPING
PERMIT FEEMIT
FEE
PERMIT FEE
DBL.
•TOTAL FEES
MOB. HM. FEE
MICRO FEE
MECH. FEE PL. CK. FEPERE
CONST. FEE E
SMI FEE
FEE PLUMB. FEE
P ERMIT NO.
Job Address
-
Space Zip - Owner
ry
4037241' 0 3 7 2 4
am o�ity
DET
,t. F.C.C.
MH Permit Fee $„
$
0
FOW I
,
Micro Film Fee Cop S
LfsJ of Frermi .!
P reel No.
/Co .o. Ck.•By
Mech. Fee Obl S
41
/t
-
PI. Ck. Fee S
Set cks
for Sr
Construction Fee Dbl S
Legal Description
F S S
R
Electrical Fee Dbl
/ a/
Zone Restrictions
Group Ty
SMI Fee g
�"+
/>
Plumbing Fee Dbl S
Bond Amt.
17on No.
Plan Checker
Final 6w Inspector
Unit
Sp. Insp. Fee S
S
I
0_
Darrel. Fee S
Const. Lender
Branch _
Supplimentol Permit Num
'
Regio, Fee $
' r
Mileage Fee $ Address . City Zip
Witness Fee $
Reinsp. Fee $
Owner/Age -.
-
Tel.
Zip
or
Total Fees $
ssgy,
,.
City r
Zip
M.O. ❑ N.C. ❑ Cash ❑ ec
�.� J•,?'
/
Received by
Contractor
- -
Tel.
Liconsep
Trees required♦
-
Z 00
Sewage
-
Ciy r
Zip
141 44
d9
-4s
T” LL cep K.uWrPERMIT SALE BECOME VOID IF WORK IS NOT COMMENCED WITHIO 120 DAYS. CES5V—ION OFI�Ot�tc
Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
•1 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. -
r
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) CO ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
eru