The URL can be used to link to this page

00021862 (SFD)APPLICANT NAME (L, F. MI) DAN HORN g ,&�l,f SS 16313 fp, JU..TjUNii" LVff C CA 92 600000 SUrp@DJRESSISPACE AVE DIAZ Pw/Gud4T(WIP . CA 922530000 //3q28 @l'1214 TWNQpf n S 1 VITO000 u1wil SB ATAR017 j, A'�L�K+—.170 ojci 1'WP'f 6. 410E1VE'K:.i:OER 1 y DEV CO PHONE# Vr4T?4?4(Wfjjm N"UR N 70 1-436 E MRS. 1638 Moft"'W'SUPT CA 922600000 �� BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # ADDRESS ,51TYICOM M UN ITYISTATEIZI P PLAN If EXAMINER APPROVE DATE RER ATTCAR t�, �PgLANS V1nW 6..l,YMIry&� AT i' 5 Vii! RZfN OFev Bev gg 0vu g OU15 nq�®� OTO ;y .OS. VO4J.� ZONE ORD # LOT S2 fA fEN� /1 N d SIDH 1 398 APPLIQATION TUR STRUCTURAL PERMIT _FYt ' NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 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. 43 Final IDA 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 y 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 P/L P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit' 28 Service Entrance 29 Wiring 29A Grounding Wire 298Bonding 30 Fixtures ' 31 Service 32 = Final STREET NAME ( If-FPPLICl1 UN �� s� County of Riverside Department of Building and Safety 4080 Lemon SI. 20tl Floor 135 N. Alessandro Rd. Rm. 203 880 N. State Street 227 North "D" Street 46.209 Oass St. Rm. 310 160 N. Broadway Riverside. CA 92501 Banning, CA 92220 Hemel, CA 92343 Perns /3A 92370 Indio. CA 92201 Blythe. CA 92225 Ph: 787-6146 Ph849-7312 Ph, 6584464 • Ph: 657-3898 Ph: 342.8271 Ph: 922.2670 This permit oecames void it work mt commenced within 180 days Irom date of issuance. OR, it work has neer suspended or abandoned for a peup0 0l 180 days no CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be com- LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (comment pleted if the permit is for one hundred ($100) 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' Compensa- ing with Section 7000) of Division 3 0l the Business and Professions Code, and my license is in lull force and effect. tion Laws of California. ❑ Date _—_..T_ Applicant -__ NOTICE TO APPLICANT: II, after makingthis Certificate of Exemption, you should become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the Compensation provisions of the Labor Code. you must lorthwith 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 can. deemed revoked. alter, Improve, demolish. or repair any structure, prior to its issuance. also requires the applicant for such PTA12"U' EEWT CA 922600000 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: estruct. (Chapter 9 (commencing with Section 7000) of Division 3 0l the Business and Professions Code) or that he is ex- 01 hereby certify that no excavation five (5) or more leet in depth into which a person is required to descend. will empl therefrom and the basis tar the alleged exemption. Any violation d( Section 7031.5 by any applicant for a per- be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).): or demolition or dismantling thereof. will be more than Thirty-six (36) feel high. (Chap. 3.2. Grp 2. Ar12. Sec 341. ❑ 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 Contractor's License ❑ As owner -builder, I will not employ anyone to do work which would require a permit Irom 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 dustrial 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 offered for sale. If, however, a J. the building or improvement is sold within one year of completion, the owner -builder will have the burden of prov- []Division of Industrial Safety Permit No. — Ing that he did not build or improve for the purpose o1 sale.) ❑I, as owner at the properly, 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 properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Com tractor's License Law.) ❑l am exempt under Sec. . B.8 P.C. (Attach Certificate). 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.). I ❑Certified copy is hereby furnished. I❑Certilied copy is tiled with the County Building Inspection Department or County Department. fPALWNTWAMk( MI) _ OURS 14638 Prf129'd'UMEWT CA 922600000 su""iREES�SIISP�SA�CE AVE DIAZ U A(CONbV y1't 71y1VZIP CA 922530000 V�3 2 V 2 TWN o no (to S UVhoV0 1VTO15 I In JL SB 8eVATAQ017, BLK-170 F- "MEV►ErdMC'ggD��yT, DEV COHONE# i� {.�lJ L174AV4�\ N�VRN ��+p� y�c LIISS5436 90%0 1638 PTA12"U' EEWT CA 922600000 PYONEVI�R�['1r,,,,1 hAe VV ``ff BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC N ADDRESS , CITYICOMMUN ITYISTATEIZIP PLAN MP EX IN APPROVE DATE 8- T- ` ' l t -L# ATT GAR ppN R CV/VJ(V a J. o i R68� V ll'1 r f4 Ili ZONE ORD If LOT SZ 6Ns n 106 -so o e CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor- 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 certily I have read this application and state that the information given is correct. I agree to comply with all stale laws and county ordinances relating to building construction, and authorize a representative of the County of Riverside. Department of Building and Safety to enter u on the properly for which I have applied for this permit for the purpose of making inspections. X _��- ry Signature of Applicant or Agent Date Applicant/Aoenl Name ff U'94',iFf1362 C`R ESTIMATED PIAN 07/130132 REV FEE 3.9 5B 3 TOTAL iFEE CA C*A NC COUNTER B.I. Alif // COUNTER L.U.T. '.L-�I��'P - - - - -- ----- - - PERMIT FOR STRUCTURAL PIAN REVIEW TOTAL PERMIT COST IS $151.77 �1cONSTRUCTION ESTIMATE Description PRIMARY DWLG SECNDRY AIRCON 11 SECNDRY PRIGAR wEst Plan Rev Fee based .11 1 1 IFORM 284.208(1181) INSPECTOR (NOTE$ Not to be used as property FCC Group Typ a Sq Ft 101 R-3 V -W 1211 900 R436 M�3 WD 'll -1113R 0 on Total Estimated Val'tn of S valuation) Rete Valuation x:27.60 $33423 ,, $38999 ° ist $�1 l.77 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 6 Frms 34 Plenums & 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 loA Fireplace T. 0. 0 OP'N NO. ADDITIONAL INFORMATION 1 ' 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 P/L 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 j- � 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 attache, check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payable tt County of Riverside. Name Mailing Address Q City State Zip Code Phone Z 0 F' V `Property Address "City or Community 'Legal Description of Property W N 'Assessors Parcel No. Water Serving Property From Signature of nr.plic:in' Date `The above information must be verified from Building Application Staff 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 Soils or boring report by Date. O_ U Approved by Date. W rn 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 F- V W 0 Signature of Health Official Date Receipt No. Issued By District: Riverside ❑ Indio ❑ Hemet ❑ Date DISTRIBUTION: WHITE - Office File YELLOW - Applicant PINK - Building Dept. GOLDENROD - Attached to Plans DOH SAN 199 (New to/A11 i W w z 3 O 0�-_' O Uj (g0 APPLICATION FOR TREE PLANTING I (we), 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 stokes con be found. Further, it is agreed that the County of Riverside shall assyyye no responsibj411 y should trees havg tp be removed due to lot line errors. Owner's Name Mailing Address L.�&.,' Job Address j�If" (21cce— /q2 L'Description Assessor's Map, Book & Page Type of Soil water availableoad Dept. Plot Plan No. Type of existing trees in road right -of- ay dr - Trees preferred by applicant (1) (2) iIdin Permit No. r tate � Zip Community Type Structu �j e Date �_- �i1 �—� Owner's Signature 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 O> - Z t•- LLJ 0 LL t J Q m.A Request for hearing: YES ❑ Owner's Signature .6 H u a z w 0 z z 0 Q 4 J O IL W 0 Z Z~ za Q W J � IL 0 >- Z t- Uj LL _J Q m.6 (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur 0 Non -concur n Explanation Date Signature Road Dept. Concur 0 Non -Concur 0 Date Signature Date hearing established Approved 0 Disapproved Date Building $ Safety notified . W REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing notice mailed to owner - Date Owner notified of decision 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 Remarks 284-230, REV. 1/74 (Detach and forward above information to Road Department Riverside) ` ' _~-~_--�, � / '___�_ ` � ,� ,` . - � \ .} \ < -^-^ � _ � . ____ u��- ' ( '~`�' . � . � . . � ,` � ; � ^ > . 'l . . / . ^ ~'_. -_�-_-_-_______ . ~~~~�~�~�~� - -~7 ' ��f�� ^ - � APICANT NAME. L, F. MI) DN NO N DATE ry n �5 I/ r �J 07112/82 3 9 �A�D�iESSX 1 baaCOMMUNITYISTATE/ZIP PALM DESERT CA 922600000 JOB SITE ADDRESS/SPACE 5S9S0 AVE DIAZ CITY/COM MUN ITY/STATEIZIP LA QUINTA CA 922530000 BOKPAG 77 312 PRC 012 C a TWN RNG 008 SE 0a S TRACT LOT 000000 OQ1� MOD Q11 S8 TRACT NAME SCV LAQ#17, BLK-170 WNLNAMEl,kM ERT, DEV CO PHONE p NAME U951 -5w 30DANAVONHORN ADDRESS BOX i F 638 CITY/COMMUNITY/STATEIZI P PALM DESERT CA 922600000 048 M-568 10 48 BLDG. INSPECTOR FINAL DATE ARC/ENG FIRM NAME LICNC # ADDRESS CITY/COMMUNITY/STATE/ZIP PLAN# PLANS EXAMINER APPROVE DATE USE OF PERMIT DWLC & ATT Cy A��##R Ell.N 00 R1 QA aft q� 003 {� OTO {{ AD ZONE ORD # LOT SZ TOTAL . FEE ENDSIDE 0OZ0 0100 APPLIPRMT pPS 0002186E xS DATE ry n �5 I/ r �J 07112/82 3 9 TOTAL . FEE CA CK NC COUNTER B.I. COUNTER L.U.T. / APPLICATION FOR STRUCTURAL PLAN. REVIEW T N I S. 1 S A N A P P L 1 C: A T 1 0 N O N L Y You must Brae the following DepartmenTs (if listed) For Concurrence BEFORE a Permit can be isscued i Description Deppt to Sea HOLDj, ROAD -HEALTH LAND USE FORM 284288 (1181) INSPECTOR 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. E] 43 Final IDA 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 t 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME