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368745 (SPIN)PERMIT NO.DEPARTMENT OF BUILDING& SAFETY FIELD DST 368745 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS ._ SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used os property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD $IGN WASHER (AUTO)(DISH) APPLIANCE DRYER Plumbing Fee GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 1 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. @ t BATH TUB Address City Zip _ SQ. FT. @ t WATER HEATER $ SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Owner/Agent lq; A. \ SQ. FT. GAR @ si c HOUSE SEWER Total Fees M. 0. N.C. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE F CONST. FEE ELECT. FEE SMI FEE FEE y PLUMB. FEE PERMIT NO. 368745 Job Address .--,-s-� '� - Space Zip r Owner ._ Community~ V�ua ion $ Date /'� . f r "Dist.EOff. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of ermit @-ii f A4f „rs- /(/.j/J(r / ! Parcel No.r 4Z �z_„/ e Ba s F S S se/Case No. Ck. By Lot Size R Mech. Fee Dbl $ PI. Ck. Fee $ Construction Fee Dbl $ Legal Description )/)`, ` / ,J �! Jw� / t/ /!/ `9 /.i � � / 5-`' o X1. Electrical Fee Dbl $ Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date 00"7 �. C Insp or Unit Sp. Insp. Fee $ '? Demol. Fee $ u Const. Lender Branch Supplimen I mit Numbers Regisir. Fee s Mileage Fee $ Address City Zip _ Witness Fee $ Reinsp. Fee $ Owner/Agent lq; A. \ Tel Zip Total Fees M. 0. N.C. $.. Cash Check A ress 1 ' IV 29 "f'/`" `� City`' Zip Received by ..�...A Contractor Tel. License# 1 /4 Trees required • Sewage System Address City Zip T LL P Sewer District Form 284-208 (Rev.8/78) THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I 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. I HEREBY CERTIFY THAT THE INDIVIDUAL Wt!7 PREPARED.THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock 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 3B Compressor 6 Roof Deck 39 A pl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 91 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA Fireplace T. 0. 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 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 REQUEST FOR CERTIFICATION ` �S i9., Date n n County of Riverside TO: Local governing authority !•' n T SUBJECT: Request for certification of acceptability of property under applicable local building code(s). REFERENCE: Location of dwelling: Community: hereby request an inspection of the above located dwelling for a determination of the following, as well as a Certification of Acceptability for Nonacceptability as the situation warrants) : ❑ 1. Compliance with local building codels) applicable to the existing dwelling. ❑N'2. ' Compliance with applicable local code(s) on room addition. ,� }/�� 6. A20044 + ❑ 3. Compliance with applicable local codels) on garage conversion. ❑ 4. Compliance with applicable local code(s) on sewage disposal. system. 115. Compliance with applicable local codels) on other special construction. (describe) Signed: "' —X -,...r • �/�V..J\/�`....`�••- (Owner/Agent) �y Address: cX�'r r-yval�l {'4iT�+.�j is Zip: C' C-rJ� 184-49 8/76 II CERTIFICATE OF ACCEPTABILITYMONACCEPTABILITY Owner: 44 - - 1 ., u i n .•..SIX.% Date of Inspection Location of Dwelling: T -Tn—�l�.�T� Building Permit No. Community: y trt0 I certify that as a part of my official duties as f uildr_ng inspector, I have on the date indicated, inspected the above located dwelling as reques(ed,-andhave noted the following violations) of the applicable building code(s): ❑ None. There is no violation of the applicable building code(s). ❑ The following nonacceptable conditions exist: ❑ Sanitary inadequacy: ❑ Structural hazard: ❑ Hazardous wiring: ❑ Hazardous plumbing: ❑ Faulty weather protection- ❑ Fire hazard: ❑ Faulty materials of construction: ❑ Additional details are noted on reverse side of $his form: Remarks: ❑ Conforms to other applicable ordinances. ❑ I further certify that a record is available indicating proper completion: Reinspection/ New Permit Required (Building Permit No.) (Completion Date) ❑ The building permit completion record is not available. Records Indicate age of this structure has led to destruction of the completion record. ❑ There is no record available of the construction involved. However, the construction appears to meet code. Signed: (Typed or Printed Name of Building Inspector) County of Riverside City Date of Certificate Dear Mr. Brown: Per;my inspection on 6-4-79 the following items will have to be completed: 1. Come into the Indio office and take out a permit for the fire place. Rebuild top part of fire place, calling for inspection at the plate line bond beam and top out bond beam. 2. Complete outside walls of addition. If you have any questions please write.or call me at the Indio office. Jim Belyeu Supervising Building Inspector.. JB/gm cc i 1b.. NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT , ( APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Rbf- JA) Owner Architect —_ _ Contractor__ _ as !=1>. �� Addres Address___ Address— ddress City U 1101-1� ,I CityCAIf� City__ City_—_— — Phone 70 _- Phone _ Phone— cc 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 Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety 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 is agreed that I (we) will not occupy said property and will not cause said property to be occupied until I (we) have complied with all laws of the Countv of Riverside and the State of California governing said property. DATE ----- SIGNATURE OF OWNER AND/OR AGEN. Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. li `� 1 USE OF STRUCTURE ,�-.�y JOB ADDRESS +R�%u I H SINGLE FAMILY �DUPLEX LEGAL DESCRIPTION OF PROPERTY 1—/_�'-2TZ —01 _ APARTMENTS >0< Z s64of AGRIC. _e Y g N Q 7 i COMMERCIAL INDUSTRIAL [� '^ COMMUNITY f s%T AL 1r- ALTERATIONS n Z NO. OF SUBMITTED PLANS USE OF PERMIT'-xj-- �72- GGGJ1"e H a ,per CASE NO. y�/✓�_rL� o0 p Z NO. OF PARKING SPACES REQUIRED --_ NO. OF BUILDINGS NOW EXISTING — 0 ZONE 140-1 SETBACKS: FRONT SIDE REAR J Z) GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE O SETBACK ORDINANCE N OF FEET REQUIRED ON STREET EDATSIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__— _ w CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET Z ti a 4 CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES [> NO ❑ Lu a HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q O IMPROVEMENT? YES ❑ NO ❑ °L DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC F- a W SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS FLOOD CONTROL t- oc W AIR POLLUTION = F DIV OF HWY 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 BUILDING PERMIT PERMIT NO. 368745 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE F/;], COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES UNITS Zip Owner - : IST FL. SQ. FT. @ f 368745 r 2ND. FL. SQ. FT. @ Community 4A2 IVA 11 A,1 YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ :- Micro Film Fee Cop § POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ Ck. By •' Mech. Fee Dbl E CAR P. SQ. FT. @ Set Backs DRAINAGE PIPING WALL SQ. FT. @ 1t I` Construction Fee Dbl E DRINKING FOUNTAIN SQ. FT. @ F URINAL ESTIMATED CONSTRUCTION VALUATION $ }Electrical Fee Dbl E 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 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. @ c BATH TUB 5 SQ. FT. @ c WATER HEATER SQ. FT. RESID @1 /+t SEWAGE DISPOSAL SQ. FT. GAR @ '/+ c HOUSE SEWER I!'I Demol. Fee E GAS PIPING PERMIT FEE Supplimental PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE sv FEE PLUMB. FEE 0.,� Zip natal Fees E • Address V .— �, z.+ {^42 is A4 City Zip M.O. - N.C. Cash Check ('Received by -Vl fJ PERMIT NO. 1 Job Address Space Zip Owner f 368745 r Community 4A2 IVA 11 A,1 - Va luotion E Dote Dist. Off. F.C.C. fp1H.Permit Fee E :- Micro Film Fee Cop § Use of Permit ' I-../i/f1� Parcel No. se/Case No. Ck. By •' Mech. Fee Dbl E t.PJ. Ck. Fee § Set Backs I Lot Size "4, 1t I` Construction Fee Dbl E legal Description j /, C 40 r.7 T (/ { �./ /� n �/ �'�yr f �/ �4� 3 F 5 S R }Electrical Fee Dbl E Zone Restrictions Group Type SMI Fee E _ /�. C.� W PPlumbing Fee Dbl E Bond Amt. Plan No. Plan Checker Final Date —� Insp or Unit I `Sp.•Insp. Fee E / 5 I!'I Demol. Fee E Const. Lender ` Branch Supplimental Permit Numbers it!egistr. Fee § Fee § Address City Zip 'Mileage Witness Fee E I Rei nsp. Fee § Owner/Agent Tel. Zip natal Fees E Address V .— �, z.+ {^42 is A4 City Zip M.O. - N.C. Cash Check ('Received by Contractor Tel. License# F:, , 44Trees required Sewage System Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUS PERMI TO BECOME VOID. I HEREBY AGREE THAT AL I C'TI8iQ�7RFifHIS PERMIT WILL BE DONE IN ACCORDANCE WITH 1+ THE LAWS OF RIVERSIDE COUNTY AND T STATE OF CALIFORNIA. I HEREBY CERTIFY THAT -THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5,541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) @s