00017524 (SPIN)' APPLICANT NAME (L, F, Mp -
dove LQs��'T
I ADDRESS
f3 AV VILLA
CITYICOMMUNITYISTATEIZIP `
i A ouxK rA. CA 9.2530000
I LL s•� ` Y
n B 41RESSISPACE y E VILLA
CITYICOMMUNITYISTATE/ZIP
BOK
Yah
.PAG •.
333
PRC',..
.O;a1.
C
T
TWN
RNG
004
SE
00
S
TRACT - •• .LOT
000000 000�9
.MOD ' `
SR
TRACT NAME i
SCC LAD BLK 147: . }
ot� �yE �FvM�•� t y�
LlljfolgMt (L i, iNS 1
PHONE #
.CONTRACTOR -FIRM NAME
LICNC p ' +
'ADDRESS '
- CITYICOMMUNITYISTATEIZIP t"
i y e
,.PHONE# -
BLD G. INSPECTOR
FINAL DATE s.•
ARCIENG FIRM NAME
LICNC #
�( ADDRESS
CITY ICOMMUNITYISTATEIZIP ,
• 'PLAN #
PLANS EXAMINER
APPROVE DATE '
USE OFPERMIT
SPEC INSP FOR -FIRr DAMAGE- .
BL
0 ,
�Zo f FSB
0110 1
01010 1
0110
O�WD .
ZONE ORD #
LOT SZ
I END 100S
.6E `
APPLIPRMT R PS DATE i�
fi 0 tl 9t 1 �} Cid ! 41? / 2
6999
TOTAL .
FEE
CACK NC I COUNTER 8.1. - 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 i3 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.O.
P'N
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 1 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sew&",- .` -.
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
,if . Department
of Building and Safety
4080 Lemon St. 2nd Floor 135 N. Alessandro Rd. Rai. 203 880 N. state Street
227 North '•D" Street 46.209 Oasis S:. Am. 310 160 N. Broadway
' Riverside. CA 92501 Banning, CA 92220 " Hemel. CA 92343
Perris. CA 92370 Indio. CA 9220' - Blythe. CA 922251
• Ph: 787.6146 Ph: 849-7312 Ph: 658.4464
Ph: 6573898 Ph: 342.8271 Ph: 9222670
This permit becomes void.if work not commenced within 180 days Irom date of issuance. OR. if work has beer suspended or abandoned for a period or 180 days.' -
�.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION'INSU RANCE: This section need not be cam -
LICENSED CONTRACTORS DECLARATION: thereby affirm that am licensed under provisions of Chapter 9•(commenc- pleted if the permit is for one hundred ($100) or less. I cetify that in the performance of the work lot which this,
ing with Section 7000) of Division 3 of the Business and Professions Code; and my license is in full force and effect. permit issued. I shall not employ any person in any manner so as (o become subject to the Workers' Compensa-;
lion Laws of California.
... •.
Date APPUant -.
NOTICE TO APPLICANT: II. alter making this Certificate of :xemp(ion. you should become subject to the Workers'
OWNER -BUILDER DECLARATION: I hereby -affirm (hat 1 am exempt from the Contractor's License Law for the • Compensation provisions of the Labor Code. you must forth Hilh 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 lo'con-
, deemed revoked. -
struct; alter, improve, demolish, or repair any structure, prior to its. issuance, also requires the applicant for such
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 CERTIFICATICV: -
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
x- of hereby certify (hal no excavation live (5) or more lee( iRdepth into which a person is required to descend, will
empt,
and tic basis for the alleged exemption. Any violation of Section 7031.5 0)by any applicant for aper- be made in connection with work authorized by this permit, and that no building structure. scaffolding, falsework, .
emp(tbjects the
mit subjects the applicant to a civil penalty' of not more than five huntlerd dollars ($500).):.
or demolition or dismantling thereat, will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art 2, Sec 341, -
❑ I, as owner of the property. or my employees with wages as Iheir sole compensation, will do the work, and the
Title 8, C.A.0 j. — -
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The -Contractor's License
E) As owner -builder, I will not employ anyone to do work which would require a 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
permit
or dustriat Safety. as noted above, unless'such person has z permit to do such work from the division.- '
through his own employees. provided that such improvements are not intended or offered for sale. II, however.
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 of sale.)
10Q
❑l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the perfor-
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who mance of the work for which this permit is issued (Sec. 3797. Civ. C.).
builds or improves thereon, and who contracts lot such projects with a conlractor(s) licensed pursuant to the Con- Lender's Name
tractor's License Law.) i
Lender's Address
[]I am exempt under Sec. , B.& P.C, (Attach Cerlificale). -
Date Owner.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certily I have read (his application and state
that the information given is correct. I agree to comply -vi(h all state laws and county ordinances relating to.
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cerlificate of consent to self -insure, or a building cons(ruclion, and authorize a representative of the :ounly of Riverside, Department of Building and Safety
certificate of Workers' Compensation Insurance, or a certified copy thereat (Sec. 3800; Lab. C.).
to enter the yoperly for w ich I have applied for IN:yperooil for the purpose of making inspections.
I❑Certified
copy is hereby furnished. - I„
Y�o{
ti A % / / A A RZ!if! 4 i
<• ` Signalure of Applicant or Agenl�_ YV r ale °
❑Certified copy is filed with the County Building Inspection Department or County Department.
-
Print Applicant/Agent Name _
APPLICANT NAME (L, F, Mlj
APPLIPRMT dDATE
° va,r000175-24
LICNC p
t 1)'t ,2 l
P(04/'
- O O 0-
ADDRESS,'
+1
.52885 AVE VILLA
CITYICOMMUNITY/STATEIZIP
t
}CITY/COMMM�UNNITY/S�T+AATEIZIP CA
922530000 f„0
.
JOB SITE ADDRESS/SPACE
• ' F3�3
AVE
VILLA
CITY/COMMUNITY/STATE/ZIP
L.A QUINTA
BLZON
go
CA
922 30000
BOK
SSB
o00
RSB
41(10
JTND
OFC
TWN
RNG
SE
S
?
1 .33A
7C
ENDry
SIDE
41 0 0
fiUU
4U�
NC
TRACTLOT
1, s' 1
.0.
S B
10Q
08
Y'p 'A1._ P .i� S Er'T
E'Ci9T
q
YlA
TRACT NAME
'
SGV L.AQ BLK
147
OWNER NAME
COVES , (LCc� ST
PHONEd
CONTRACTOR -FIRM NAME
LICNC p
ADDRESS
CITYICOMMUNITY/STATEIZIP
t
.
PHONE p
BLD . I
CTORpO �%
FINAL DATE
ARC/ENG FIRM NAME
LICNC d
ADDRESS
CITY/COM MUNITYISTATEIZIP
I PLAN N
PLANS EXAMINER APPROVE DATE
IFIRE DAMAGE $0.00
�
C1�MI IINSP,, FOR,- FIqE
USPEC
11 A'MAE
EIAL INSO
SPECIAL E"XE
BLZON
go
_I
FSB
SSB
aa®
SSB
o00
RSB
41(10
JTND
OFC
f� ,
.ZONE ORD p
LOT SZ
ENDry
SIDE
41 0 0
CA
CK
NC
COUNTER B.I./I i I
1, s' 1
Y'p 'A1._ P .i� S Er'T
E'Ci9T
. b0'
FIRE DAMAGE
1
7
TOTAL .
FEE
$130.00
.$30
FORM 284.208 (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.
43
Final
IDA
Fireplace T. 0. E]
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Loth
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
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
SUBJECT: Request for. certification of acceptability of property. under applicable
local building code(s).
REFERENCE: Location of dwelling: 52885 Ayenick tua
tA
Community:
hereby request an inspection of the above located dwelling for a determination.of the
t
following; as.well as a Certification of Acceptability: (or Nonacceptability as'the situation.
warrants):
❑ 1.. Compliance with local building code(s) applicable to .the existing dwelling,
-2. Compliance with applicable local'.code(s) on room addition.
❑ 3. Compliance with applicable local code(s) on garage conversion.
'❑ 4. Compliance with applicable local co"de(s)'on sewage disposal system.
0:5. Compliance with applicable local' code(s)'on other special construction;
(describe)
Signed:
(Owner/Agent)
Address:
Zip
284-49 8/76'
1i;�_ '.(Ip.- .^ ., ,, •_ -• a • ., ._,.
i CERTIFICA iT OF ACCEPTABILITY/NONACCEP'rABll_ITY r�
Owner
Date o(inspection .
Location of Dwelling. 2M; '
Building Permit No.
Community;Quint$
,
I certify that as a part of my official duties as building inspector;•I have on the date. indicated,
inspected.the above located dwelling as requested, and.have noted the following violation(s) of
the applicable building code(s):
❑ None. There -is -no violation of the applicablehuilding code(s).
Reinspection/
ElThe following.nonacceptable conditions exist`.
New'Permit
Required
❑ Sanitary inadequacy.
❑ Stiuctural hazard:
❑ Hazardous wiring:
❑ Hazardous plumbing::
❑ Faulty weather protection:
❑
Fire hazard:
❑ Faulty materials of -construction:
Additional deiails are noted on'reverse side of this form.
Remarks:
❑ Conforms to other applicable ordinances.
❑ I further certify that a record is available indicating proper completion:
(Building Permit No:) (Completion Date)
❑ The building permit completion record is not available'. Records indicate.age of this structure
has led to destruction of tlia completion record.
El There is no record available of the construction inJolved. llowever, .the construction appears
to meet code.
Signed:
(Typed or Printed Name.of'
1 Building Inspector)
Tt�aiS.t3 County of Riverside
City Date of Certificate
1•
I
tii ,
Remove. anreplace all electric under.; truss ares.
Remove axed replace trusses and. roof deck house area.
Remove and replace rear patio.
Remove.and replace # A U.
Remove and replace-heating and A ,C duct.;
Remove-and replace doors and windows..
-Remove and replace insulation.
Remove and replace all plumbing above slab..
Remove and replace 80% of drywall.
Remove and replace all electric fixtures,
Remove and replace kitchen cabinets and tops•.,
r'
Remove and replace range-, range hood and, bage disposal..
Remove and replace- all brunt; studst, blocks ,Find plate,:
Recolor coat exterior, stucco.
1
t
1