413297 (SOL)PERMIT NO.
413297
PERMIT NO.
413297
lob Address --'—-'-�—�' —�$pa ip �
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
FIELD
A
DST
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. P UMBING FEES
1 ST FL. SO. FT. @ $
2ND. Fl. SO. FT. @
POR. SQ. FT. @
GAR. v SO. FT. @
CAR P. SO. FT. @
WALL 50. FT. @
CO �w.a. SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
-W
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
Use of Permit
Legal Description
l
OL
INOTE: Not to be used as property tax valuation
SWIM POOL, PVT
FLOOR DRAIN
:Mech. Fee Dbl S
MECHANICAL FEES
SWIM POOL, COMM
WATER SOFTENER
SMI Fee S
it VENT SYSTEM FAN EVAP. COOL HOOD
SIGN
WASHER (AUTO)(DISH)
Plan No.
ii
V APPLIANCE DRYER
Plan Checker
GARBAGE DISPOSAL
Inspector
�i
o FURNACE UNIT WALL FLOOR SUSPENDED
Sp. Imp. Fee S
LAUNDRY TRAY
Const. Lendar
AIR HANDLING UNIT CFM
IDLE METER
KITCHEN SINK
Supplimentol Permit Numbers
�- ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
Zip
i COMPRESSOR HP
POLE, TEMP/PERM
LAVATORY
J
r%
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T,U.
SO. FT. @ 4
BATH TUB �(
r -
SO. FT. @ 4
WATER HMTER
Received by
r
50. FT. RESID @ 1 t/4a
SEWAGE DISPOSAL
Tel.
S0. FT. GAR @ :/4e
HOUSE SEWER
Sewage System
�G
I
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
3 Ck
DBL.
TOTAL FEE57;''�
vv �`
MOB. MM. FEE
MICRO FEE
MECH. FEE PL. CK. FEE
CONST. FEE ELECT. FEE
SMI FEE
FEE
PLLIIAQ, EEE
JV((i� C/!
PERMIT NO.
413297
lob Address --'—-'-�—�' —�$pa ip �
owner
i�
Commu ty
A
Valuation
Data !
Dist. I
I Off. F.C.C.
MH Permit Fee S
Micro Film Fee Cop S
Use of Permit
Legal Description
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, sll_nlul-,A
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Porcel4ATlo0 ( 2 �/� Use/Case No. Ck. By
%% ` P.
�✓ `-1
t Set Backs Lot Sloe
S S R
Zone Rest(ri�ctions`0C roup Type
:Mech. Fee Dbl S
PI. Ck. Fee S
Construction Fee Dbl S
Electrical Fee Dbl S
SMI Fee S
'Plumbing Fee Dbl Eand
Amt.
S
Plan No.
Plan Checker
IL Final Dote
7— l
3 l -7—k'
Inspector
Unit
Sp. Imp. Fee S
,,Demol. Fee $
Const. Lendar
Branch
,
Supplimentol Permit Numbers
!Registr, Fee S
Mileage Fee S
Address City
Zip
Witness Fee $
Reinsp. Fee S
Own.,/Agent
J
r%
Tel. Zip
Total Fees S Ly
Ad%;�e,
- V ',
City t Zip
M. ' I] N.C. El Cas ❑ Check
Received by
Cont ct r
Tel.
Licensen
Trees required
Sewage System
AddressCiry
Zip
T LL P
Sewer District
Form 284-208 (Rev. 1/80) -
.,
THIS PERMIT SHALL BECOME VOID IF WORK 15 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 WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
ACCORDANCE WITH SECTION 5541 OF THE BUSINESS.AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
:�..,.o.•;ti4.
verified by:
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE r
INFPf::TOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
t
33
Ventilation System
2
Ftgs 8 Fr'nf>,
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets r
4
I Grout Blocks
t
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Deice
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final L'
10A
Fireplace T. 0.
°o
)
ADDITIONAL INFORMATION
•i
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Loth
12 Internal Loth
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final o„
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
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
298 Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME (� PERMIT NUMBER
INSPECTION
REQUESTED
ADDRESS I SPACE NO. FOR:
A.M.
OWNER COMMUNITY
P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL
K4DlJ
Ej
J
1
UES
5
WED
REMARKS: --
THUR
FRI
OWNER/CONTRACTOR TEL.NO.
aea-a�►ins
NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT
APPLICATION TO CONSTRUCT Permit No
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE
Owner Everett Morphett Architect I ContractorTI-S_- gQlar
Address 51355 Desert C1ubAQX, Address 73-759 HWY 111__
City La Quinta, CA City City Palm Desert, CA
Phone Phone Phone 568-9464
I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
01W
Z
Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety
3
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 t be occupied until I (we) have
complied with all laws of the County of Riverside and the State of California governing said property. 2
/ .� — - �a -
DATE r4 SIGNATURE OF OWNER AND/OR AGENT
Approval by Signature from the Following Dep:rtasents Listed Below
Must Be Obtained Prior to the Issuing of a Construction Permit.
I SPACE N0.
USE OF STRUCTURE
/✓
JOB ADDRESS 3S ee� Chu _
SINGLE FAMILY DUPLEX �]
Z W
LEGA DESCRIPTIOFPROPEjY �a APARTMENTS AGRIC.
N Q
COMMERCIAL INDUSTRIAL n
CC
Z
COMMUNITY ALTERATIONS n
NO. OF SUBMITTED PLANS — USE OF PERMIT l/ AC e I
CASE NO.
G Z
NO. OF/PRK%—G�PASCES REQUIRED NO. OF BUILDINGS NOW EXISTING —
Q
ZONE ETBACKS: FRONT SIDE REAR
J
m
GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE
SETBACK ORD ANCE N —_ OF FEET REQUIRED 0 ST ET
DATE/ SIGNATURE OF LAND USE OFFI --
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-
-z
i
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
ot
W
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET
YES NO
OIMPROVEMENT?
°C
❑ ❑
DATE SIGNATURE OF ROAD DEPT. OFFICIAL
=
WSEWAGE
= 0
SWIMMING POOLS PUBLIC
DISPOSAL
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
FLOOD CONTROL—
z AIR POLLUTION
W � DIV OF HWY
o a — YOUR PROPERTY MAY BE SUBJECT TO
v
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
� T_
DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE
COUNTY OF RIVERSIDE PERMIT #
Effective July 1, 1980, Chapter 1301, Section 19825•of_the Ninth 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:
[7S 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"
aq 44 License No. '336647
Date 1.2 1t) U Contractor United StaZes War Corp.
M OWNER -BUILDER DECLARATION
I hereby affirm that I am.exempt 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. 7O31.5;•B.&P.C.).
[� I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, B.&P.C.).
Q I am exempt under Section B.&P.C. for this reason:
Date Owner
121 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. 3800, Lab. Code).
Policy No. NAF51-0004 Insurance
0 Certified copy is hereby furnished.
Certified copy is filed with the County, of Riverside „Department of Building and Safety.
Date 1 ? /19 /90 Applicant „�V�I / ,v /�
Q CERTIFICATE OF EXEMPTION FROM 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 N/A
Lender's Address
DIVISION OF INDUSTRIAL•SAFETY PERMIT CERTIFICATION
Q 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.)
[� 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.
[] Division of Industrial Safety Permit
Date /-a - ze- •'o Applicant
CERTIFICATE OF COMPLIANCE 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
representative of the County of Riverside, Department of Building and Safety to enter upon the pro-
perty forywich I have applied for this permit for the purpose of making inspections.
12/16/80
S3"gnature of Applicant/Agent Date
Siarid Brand -
Print DDlicant/Anent Name
'mow .t,^. -�'�' `.'1: .t ..-�.r"'*.�r u-•"•.wr...�^fi' ` i �=•r, y_.;r ..
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tater.
R Ps) ORATION
.aan.
SOLAR INSTALLATION DATA
I
NAME
ADDRESS pPSPri- Ll Li/4 La,
ZIP�JZL S3
PHONE
-FOOL AGE
POOL SO. FT.
POO1,'GAL.
PUMPHxP. REPLACE ❑ YES. ❑ NO
FILTERT\YPE REPLACE ❑ YES ❑ NO
FILTER P.S\I.
FILTER G.P.\
FLOW RATE GOOD ❑ FAIR ❑POOR
EQUIPMENT VOL S ❑ 1 10 0220
TIME CLOCK LOC.
EQUIP LOC. ❑ POOL LEVEL ❑ ABOVE ❑ BELOW
PANEL LOC. ❑ ROOF a R'%0,�AKE.
S ❑ OTHER
ROOF TYPE ' ❑ SHINGLE ❑COMP
❑ROCK ❑TILE OTHER
NUMBER OF PANELS
SUBSTRATES ❑ YES ❑ NO
BANK PACK# SPLIT PACK#
AUTO SENSOR ❑ YES ❑ NO
POOL BLANKET ❑ YES ❑ NO ..
BOOSTER PUMP ❑ YES ❑ NO
DESIRED TEMPERATURE
NUMBER OF MONTHS
SIGNED
HOT �WA//T//E��R SYSTEM
COLLECTOR SIZE
SINGLE GLAZED 1,4E
DOUBLE GLAZED i✓ D
CONTROL UNITS
PUMP '�3.� Zr " •; �o.jJrt�oni✓1 L G/Iu.vFUs
STORAGETANK S SIZE eFZ C,,41
HEAT EXCHANGER los SIZE
'COPPER TUBING ,526' FT.
CHECKVALVE y�S
CLIEAN OUT'T" Y'02'INSULATION FT.
TEMPERING VALVE yTS
SHUT-OFF VAL.YES.
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BUILDING PERMIT
1PERMIT NO.
413297
CONSTRUCTION EST
1 ST FL.
2ND. FL.
POR.
GAR.
CAR P.
W At� /
—�`�
ESTIMATED CONSTRUCTION
SO. FT. @
SO. FT. @
SO. FT. @
SO. FT. @
SO. FT. @
SO. FT. @
SO. FT. @
VALUATION
NOTE: Not to be used as property tax voluotio
MECHANICAL FE
VENT SYSTEM FAN EVAP. COOL
APPLIANCE DRYER
FURNACE UNIT WALL FLOOR
AIR HANDLING UNIT
ABSORPTION SYSTEM
COMPRESSOR HP
HEATING SYSTEM FORCED GRAVITY
BOILER B.T.U.
Use of Permit
st,-12 V,1, 1-0
A
Parcgl+JI�/P l�q. %
PERMIT FEE
DBL.
TOTyI�F
O{/
MOB. HM. FEE
PI. Ck. Fee S
PERMIT NO.
413297
Job Address
l 3 ` !'..5
J�
( Spq\ Zip
_ lr 1
Owner
Comm'Y\n\it_y i{.\
` _ 1'"�
A
L ( fV -•�+c-1-
Volu_a�tio/`n (may!
S as'�, V 0 �
Dote Div.
���
Off.
F.C.C.
MH Permit Fee $
Micro Film Fee Cop S
Use of Permit
st,-12 V,1, 1-0
A
Parcgl+JI�/P l�q. %
01
Use/Gose No.
Ck. By
Ir
Mach. Fee Dbl S
PI. Ck. Fee S
Set Backs
Lot Size
Construction Fee Dbl S
Legal Description
(�'
p�
1
11 �f 6 - W
F
S
5
R
Electrical Fee Dal $
Zone Restriction
c �-S
Group
Type
SMI Fee S\J
Plumbing Fee Dbl S
Bond Amt.
$
Plan No.
Plan Checker
-.7
Final Dafe
— /' SI/
Inspector
Unit
Sp. Insp. Fee S
Demol. Fee S
Const. Lender
Branch
Supplimentol Permit
Numbers f.1;
Registr. Fee S
Mileage Fee S
Address City Zip
Witness Fee S
Reinsp. Fee S
Owner/Agent
Tel.
Zip
Total Fees $
Address
� 'r
City
Zip
s
M. n`Q N.C. eck
Received by
Co ro"tor /
v
Tel^L�
�++
'/j i /'
LicemnR c
Trees required\.`J
Sewage System
Adores r.�
City
Zip
Ts4-/zl—
T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifiaj by:
Sewer District 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 I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 284-208 (Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.