Loading...
413483 (SOL)PERMIT No. DEPARTMENT OF BUILDING & SAFETY 13483 COUNTY OF RIVERSIDE FIELD no� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FE2S 1ST FL. 2N0. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS 00 SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. NII( flrli AY4I/ 1173 SO. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tox 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 Plan No. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Inspector 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. SO. FT. @ a BATH TUB M.O. ❑ N.C.E] Cash Q Check OKI SO. FT. @ a WATER HEATER Tel. �. [•.(� `� U SO. FT. RESID @ 1'Aa SEWAGE DISPOSAL Sewage System SO. FT. GAR @ 3/<a HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE1 DBL. TOTAL FEESMOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT No. 413483 Space AvJ LIQ �t�� , fL=' Zip - _ ' ' 75;" Owner_ Gri��10 Community / �, I '.,f� t� i r� ! ) Valuation S Dote 4 J I Dist. Off. F.C.C. MH Permit Fee E Micro Film Fee Co S P Use of Permit "" _ f +) 1 / r' ()LAi� 7 � �. rs_ Parcel No. _ ! �— f �J f 7� Use/Case No. Ck. By , 1 Mach. Fee Dbl S P1. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description / .y ,r�, f",vf t� !"I�. ./� / %) /1 `1 a F S S R Electrical Fee Obi one Restriction Group Type SMI Fee $ Plumbing Fee Dbl S Bond Amt. S Plan No. Plan Checker Final Date P —01'- Inspector Unit Sp. Imp. Fee $ Demol. Fee $ Const. Lender Branch Supplimenta ermit Numbers Regior. Fee S Mileage Fee E Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees 5 14ag Address - � _ •' City Zip " M.O. ❑ N.C.E] Cash Q Check OKI Received by ++✓,j. Contractor ° z� — �• �- 1, l , .�; 1 !� �G (moi {1! L C �ut Tel. �. [•.(� `� U LicenseN Trees required �% Sewage System Address i fry-tg.a t-(�fY b�/ City Zip tZ�at��c�to &i)R/! f 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 CAUSE PERMIT TO BECOME VOID. C I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITI'— • * , I 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 • (/r s Form 284.208 (Rev. 1/80)L✓.CG�RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. �/� NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums S 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. °o ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick 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 / _ 52 (=J Tank Pit L. Line P/L 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 NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owner ���� - Architect _ Contracto 47 Addres —X�� �`Y{ddress Addres Cit City, City Phone Phone Phone? C 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 3 shall not make a Final Inspection until said requirements have been met. I am also aware that no work2tobene within theCounty 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 propoc pi d until I we) have complied with all laws of the County of Riverside and the State of California governing said property. DATE SIGNATURE OF OWNER AND/OR AGE_NJ--- Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. ��2 A I SPACE NO. I USE OF STRUCTURE JOB ADDRESS �77 SINGLE FAMILY�;�< DUPLEX C � L A DESCRIPT O OF PROP TY _ � 7 _ S /APARTMENTS AGRIC. El b C' N COMMERCIAL INDUSTRIAL C COMMUNITY 2 r ALTERATIONS n Z NO. OF SUBMITTED PLANS __— USE V PERMIT Q __ Q p •.� CASE NO. Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING Q � ZONE /_SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINA CE # __ OF FEET REQUIRED ON — _ STREET DATE, a SIGNATURE OF LAND USE OFFICIAL^ _ F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET--— z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET t` - i CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O C IMPROVEMENT? YES ❑ NO ❑ cc DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL Z SWIMMING POOLS PUBLIC W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ S WATER POLLUTION REMARKS FLOOD CONTROL— 12 z AIR POLLUTION W DIV OF HWY f I.- 0 < — YOUR PROPERTY MAY BE SUBJECT TO 6 o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT q _ Effective July 1, 1980, Chapter 1301 Section 19825'of the Health 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: [� 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 Pro essions Code and my license is in full force and effect. License Class Lice e Ng, qs__3 Date /.2'�a _ Contractor 2�z _Se. 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. 7031.5;'6.&P.C.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). I am exempt under Section , B.&P.C. for this reason: Date Owner M WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Workers' Compensation Insurance, o -r/ a certified copy thereof'(Sec. 800, Lab. Code). Policy No. 44::-��D�y/ Insurance 40� 1_9 �.%✓J�/�� �O�- �!• 0 Certified copy is hereby furnished. Certified copy is filed with the County o Riverside, Department of Buil ing and Safety. Date o�=je-"e Applicant `� ✓Ofd-(' ���Jl /� j 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 Lender's Address DIVISION OF INDUSTRIAL'SAFETY PERMIT CERTIFICATION 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.) d 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 No. Date Applicant CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY Itertify have read this application and state that the information given is correct. I agree to comply t all tate laws and county ordinances relating to building construction, and authorize a repres n tiv the County of Riverside, Department of Building and Safety to enter upon the pro - pert r whI ha a li for this permit for the purpose of making inspections. 1,-.9 =id -� S%nat re ofpp ant g nt Date �A�/�4�� Print App icant gent Name 284-2000 7/80 BUILDING PERMIT PERMIT NO, DEPARTMENT OF BUILDING & SAFETY 413483 COUNTY OF RIVERSIDE FIELD OFFICE F osr CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Voluotion S Dote };t �Y SO. FT. @ YARD SPKLR SYSTEM Off. SO. FT. @ MOBILEHOME SVC. PbDCINMIrC V EY� SO. FT. @ POWER OUTLET ROOF DRAINS Use of Permit 1�f /�'% ! { �4— 1 r^'1 j { �) l SO. FT. @ DRAINAGE PIPING Use/Case No. DRINKING FOUNTAIN SQ. FT. @ Mach. Fee Dbl S SO. FT. @ URINAL Set Backs VALUATION $ WATER PIPING Construction Fee Dbl S NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Zone Restrictions R —i MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Plumbing Fee Diet S VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Final Date "� APPLIANCE DRYER Unit GARBAGE DISPOSAL Demos. Fee S FURNACE UNIT WALL FLOOR SUSPENDED Suppiimental Permit Numbers LAUNDRY TRAY Mileage Fee .S AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Owner/Agent r v , ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Address /� .r r/ �%'//r COMPRESSOR HP POLE, TEMP/PERM LAVATORY Contractor HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER Sewage System -!Ke �% BOILER B.T.U. SQ. FT. @ a BATH TUB SQ. FT. @ a WATER HEATER S0. FT. RESID @ 1'/4a SEWAGE DISPOSAL S0. FT. GAR @ 3/4a HOUSE SEWER GAS PIPING PERMIT FEE - PERMIT FEE PERMIT FEE DBL. TOTAL FEESMOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE Af c7'c> 4P1M3N483 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Job Address -- F Space 6"4'- 7`6 4 � j4C,�'xLgj Zip 7Lz5,; Owner 7-ress0fy CommuunityLnOut /n t '»AL 'l.� A "I J i {( Voluotion S Dote };t �Y Dist. Off. F.C.C. MH Permit Fee S Micro Film Fee Cop S Use of Permit 1�f /�'% ! { �4— 1 r^'1 j { �) l Parcel NNo..(�{. 1 s ! =i r Use/Case No. Ck.. By Mach. Fee Dbl S PI. Ck. Fee S Set Backs lot Size Construction Fee Dbl S Legal Description / O l �T I ��� (/ ` P% � C'If� I � � i6 / IT+ j+.. i.. J .311 t,r F S 5 R Electrical Fee Dbl $ Zone Restrictions R —i Group Type SMI Fee $ Plumbing Fee Diet S Bond Amt.P S Ion No. Pion Checker Final Date "� Inspect Unit Sp. Insp. Fee S Demos. Fee S Const. Lender Branch Suppiimental Permit Numbers Registr. Fee S Mileage Fee .S Address City Zip Witness Fee S Reinsp. Fee S Owner/Agent r v , Tei. Zip Total Fees S Address /� .r r/ �%'//r City Zip M.O. ❑ N.C. ❑ Cash ❑ Check Received by ✓ �, Contractor Tel. . 7?� — 6G„i (� LicenseR Trees required Sewage System -!Ke �% Address+' City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Sewer District 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 .rAv� Form 284-208 (Rev. I/80) '�Gfa�� ANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. .. - _.�.y