The URL can be used to link to this page

00021867 (SFD)R t/MlC NTYIt.1R . MI) _ i 1�IiSS 163a 41TACOtl=(fTpwzIP C A 922530000 �" 3 12PI 2 &19. 3 M p TWN O n o nS M.O 9 SB .6VA^L:AQ*17? BIy,�Ka-1t7�0y OV WEWK:tMi.i�ERT? 1)E,Y C0 PHONE# 'ddE�k R� ��"gMCJFdid u31°sa`436 VURS 1630 f 74i°MiUwVI JEvpt CA 922600000 n'94A,«568-1 04.8 BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # S67 AB 08.0 398661 - PLAN 9 8 6 6 PgLAAN 0 T� ATT �q PLANS EXAMINER APPROVE DATE WWW F R m'& A f� GAR . u0i.til Rf- 02v Qtf&i 0i3lB5 01so ' TOTAL . FEE ZONE ORD # LOT SZ 0 au n [i SIDB CA CK NC I COUNTER B.I. COUNTER L.U.T. APPLICATION FOR ISTRUCTURAL PERMIT TwiS I S AN A P P L IC:AT 1 0 N 0 N L Y D :< ` INSPECTOR,-' . FORM 284208111.81) _ NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & 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. C] 43 Final 10A Fireplace T.O. OP'N 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 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 Bonding 30 Fixtures 31 Service 32 Final STREET NAME PERMIT APPLICATION County of Riverside Department oT Building and Safety 4080 LemoNt 2nd Floor 135 N Alessandro Ad Rm 203 880 N Slate Street 227 North * 0 - Street 46.209 Oasis St Am 310 160 N Broadway PlAur UIDES31 E 'T CA 922600000 Riverside. CA 92501 Banning,CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225 "3 Ph. 787.6146 Ph- 849-7312 Ph 6584464 Ph 6573898 Ph 342.8271 Ph 9222670 I �. TMs permit becomes void if work not commenced within 180 days Iron date of issuance. OR. if work heaNr susperld4i w abandoned for a period of 180 days ' ono CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE This section need not be com- S LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment- pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work lot which this issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa ing with Section 7000) of Division 3 o1 the Business and Professions Code, and my license is in full force and effect. tion w tion Laws of California QDale -------- ---- -- - -----Applicant -------------- i FWEM-EVESERT, DEV CO NOTICE TO APPLICANT: If, after making this Certificate of Exemption. you should become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby alfirm that I am exempt from the Contractor's License Law for the Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be ' following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con- deemed revoked. • struct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such BLDG. INSPECTOR permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION - (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex- of hereby certify that no excavation live (5) or more feet to depth into which a person is required to descend, will empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per- made in connection with work authorized by this permit. and that building structure. scall old ing, mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): . Sec 41, or demolition or dismantling Ihereol, will be more than thirty-six (36) leer high. (Chap 3.2. Grp 2, Art 2. Sec 341, or feet ❑ I, as owner of the property, or my employees with wages as their sole Compensation, will do the work, and the Title 8, C.A.C.). structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclor's License ❑ As owner -builder. I will not employ anyone to do work which would require a permit from the Division of In. Law does not apply to an owner of property who builds Or improves thereon, and who does such work himself or dusinal Safety. as noted above. unless such person has a permit to do such work from the division. through his own employees, provided that such improvements are not intended or olfgred for sale. If, however. ❑Division of Industrial Safety Permit No. the building or improvement is sold within one year of completion, the owner -builder will have the burden of p(ov. Ing that he did not build or Improve for the purpose of sale.) ❑I, 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 I builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con- tractor's License Law.) , Of am exempt under Sec. B 8 PSC. (Attach Certificate). Date OOwner ..4r . WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a ceililtcale of consent to self -insure. ora Certificate of Workers' Compensation Insurance. or a certified copy thereof (Sec. 3800. Lab. C.). ❑Certified copy is hereby furnished. ❑Certified copy is filed with the County Building Inspection Department or County ___Department. Z FAWN"tWNF, MI) IoUgs 1638 PlAur UIDES31 E 'T CA 922600000 WSBITP.AVRESSISPACE DIAZ ll�..::C;O VV AVE►1 M1r1VZIP Ei CA 922530000 "3 TI a2. IN 1 I TWN ono n S U'Db 0 0 0 1 WD 16 60f 1 I SB CA St!VIA%AQ#17, BLK-170 FWEM-EVESERT, DEV CO PHONE# VoTf4AIVOR Ni4DR N L'lnS436 OURS 1638 f'IY'a{1.DNt4UMSE'Ri' CA 922600000 7144-568-1048 i BLDG. INSPECTOR FINAL DATE ARCIENG FIRM NAME LICNC N ADDRESS CITYICOM M U N ITYISTATE IZI P PLAN NP ) 1 APPR VE DATE -2-FZ VW'L` ""t ATT GAR 110 R ION 0 €S" 0 ft 1 0 fyU 01st PSD ZONEORDN LOT SZ 0 o's tL v i CONSTRUCTION LENDING AGENCY. I hereby affirm that there is a construction lending agency lot the perfor• mance of the work for which this permit is issued (Sec. 3097. Civ. C.). Lender's Name T Lender's Address CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certlly I have read thikapplication and stale 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 properly for which I have applied for this permit for the purpose of making inspections. STgwlure of Applicant or Agent Date Print Applicant/Agent Name &0 F367 CO 07.1 PF0Z 3 9 5 0 ESTIMATED PLAN REV FEE TOTAL f EE CA CIV J� NC -. COUNT ER B.I.COUNTER / kid' L.U.T. PERMIT FOR STRUCTURAL PLAN REVIEW TOTAL PERMIT CURT IS $151.77 CONSTRUCTION ESTIMATE Description PRIMARY DWLG MD Y PRIAR Es Ian Rev Fee based INSPECTOR (NOTE: Not to be used as property valuation) FCC Group Typa Sq Ft Rats Valuation 101 R-3 V -W 1211 $27.60 $33423 900 R-3 R 1211 $2.20 $2664 436 M WD 320 $9.10 •291 on otal Estimated Val'tn of $381?4?9 i.si $1 1 .77 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. 43 Final 10A Fireplace T. 0. C] OP'N NO. _ ADDITIONAL INFORMATION _ T SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 120 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 _,_ r~ ^ '• •�*. PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service' - 32 Final STREET NAME Y� a RIVERSIDE COUNTY DEPARTMENT OF HEALTH f 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 attached check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payable to County of Riverside. Name Mailing Address Q City State Zip Code Phone Z O I V 'Property Address `City or Community 'Legal Description of Property W N "Assessors Parcel No. Water Serving Property From Signature of Applicant Date 'The above information must be verified from Building Application Staft Use — Do Not Write Below This line Initial Date Soils feasibility report required Yes ❑ No ❑ Detailed boring report required Yes ❑ No ❑ Detailed contour plot required Yes ❑ No ❑ m Z 9 P Soils or boring report b Y Date . O V Approved by Date W W Soils Map Page Soil Type Tract File No. Other _ Number of Bedrooms Septic Tank Size (gallons) Rate Required (sq. ft./100 gal or gal. sq. ft./day) 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 Location of System Additional Requirements V 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. O H V W N Signature of Health Official Date Receipt No Issued By District: Riverside ❑ DISTRIBUTION: WHITE - Office File DOH SAN 122 (New 10/81) Indio ❑ Hemet ❑ YELLOW - Applicant Date PINK - Building Dept. GOLDENROD - Attached to Plans .i 1X w z O 0 oCL w ac p 0 } Z1,- OLL J_ Q m 06 .t1 F 0 z z~ za Q W J � IL ' APPLICATION FOR TREE PLANTING I (we), th-d-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 rhe 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 responsiWlity should treesAhave to be removed due to lot line errors. Owners Nam �� 'r Buildin Permit No Mailing Address Ci ate Job Address r Co mm Legal Description C �` Assessor's Map, ,BBook , & Page �� " Type Structure �Type of Soiwater available Road Dept. Plot Plan No. Type of existing trees in road right-of-ways Trees preferred by applicant (1) _� (2) rr Date / —,( a -it -z- C Zip i F s Signature ✓%!i Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Number of trees Spacing of trees Distance from lot lines: Front Side Additional requirements Date Building and Safety notified Signature REQUEST FOR EXCEPTION Reason (attach additional page if necessary) Request for hearing: YES Owner's Signature (Forward application to Planning Dept. if exception requested) Planning Dept. Concur ❑ Date NO REQUEST FOR HEARING Non -concur ❑ Explanation Signature Road Dept. Concur Q Non -Concur Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Date hearing notice mailed to owner Approved O Disapproved Date Owner notified of decision Date Building & Safety notified • Signature APPROVAL BY BUILDING INSPECTOR O r Final Date Inspector 0LL Address Job jN Requirements for tree planting complied with m.6 Remarks 284-230, REV. 1/74 Building Permit No. :ommun i ty (Detach and forward above information to Road Department Riverside) T-) , r v IIN DPPLWN P Ali( MI' 9�PURs 1638 LT GA 92 2600000 D Y AZ It08:'SI3� luRESSISPACE AVE !'1V�.. as..6 aLWONlvIIj�xWT WZIP �y q} (� t� `, 1 i"Ui CA 9k2..25330000 �Ma-1 LV.11'",zs Ij p d JI I TWN iJ V V Wo S VIVI 1 0 0 0 ` tI 16 I W1 i Ise CA CK DEV G® 8/G. pCpWMAT".EylpeMt)pEMgR PA/"PFY161A?;Vf+JIMANiII PHONE# ,V LTy� RN CN p�, /�y Ll+ .C#'id 436 VMS 1638 1 CA 922600000. PWTE11(,-56. Cl,,,,1 0 R 8 L li'R BLDG. INSPECTOR FINAL DATE A/RCIENNG FIRM NAME LICNC H ADDRESS CITYICOMMIINITYISTATEIZIP ' PLAN p PLANS EXAMINER APPROVE DATE 12 1K.19"I AWT GAR 00. R3PN 02�'li 0U5 QVC On1,0 ZONE ORD N LOT SZ f► fENO f1 6i 1 �9 Y r�. (fM186 k 07,1i 962 9 5 9 TOTAL . FEE ' CA CK NC COUNTER B.I. COUNTER L.U.T. APPLICATION FOR STRUCTURAL. PLAN REVIEW1 3 q S You most see the following Departments (if lintel) for Concurr once B57 -FORE a Permit can be issuedi descr• i tion .._.»� �.�. ».� _.,,....� .�.�.__� ............� ..� ��.ww.ww�........ Deppt to See .._,�... HOLD-R OAD O HERL.TH LAND USE vv 1 t , � ftt ' Y t' FORM 284-208(11.81) INSPECTOR ' :. j NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock 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. 43 Final 10A Fireplace T.O. OP'N NO. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B 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 PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures • - 31 Service 32 Final STREET NAME