Loading...
418595 (BLCK)BUILDING PERMIT PERMIT NO. 4 1 X595 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICEpsr, 1 COUNTY OF RIVERSIDE 1// I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Date ,�,,.-/ +r/ 6 . g/ SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ S 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 Plan No. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Insp ctor 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 M.O. N.C. Cash Che SQ. FT. @ c WATER HEATER SQ. FT. RESID @lt/,c SEWAGE DISPOSAL Sewage System SQ. FT. GAR @ '/. c HOUSE SEWER le GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FE MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST.` ELECT. FEE SMI FEE FEE PLUMB. FEE (A�PERMIT NO. q t W mss^ j �j pace .lob dyers/�Q �,cr' V �V �iC.��, S "p �`%�^J✓ Ow(ney�- /jam \.r"/ti.. Com m7Zoity` % - /'`/� � r, t„/ ! �"'/ VoQotiI Scy $ 46 � / -- Date ,�,,.-/ +r/ 6 . g/ Dist Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit % Parcel No. � 221 e/Cose No. 451 Fee Dbl $ Pl. Ck. Fee j Set Backs Lot Size Construction fee Dbl S Legal Description ,/ ht iy f i q F -- •}/� �'/i��/j// �/(7 [/ rC -A- .0V-/-7 0 F S S R Electrical Fee Dbl $ Zone Restr s Group Type SMI Fee $ Plumbing Fee Dbl 5 Bond Amt. $ Plan No. Plan Checker Final Date Insp ctor 'Unit J Sp. Insp. Fee s Dental. Fee s Const. Lender Branch Supplimentol Permit Numbers Registr. Fee $ Mileage Fee S Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Add re " ) 7 / , K 400,4P City Zip M.O. N.C. Cash Che Received bCon r J�p Licensa M Trees requirit ed Sewage System A V�h 3131-5.� , Zip Jl le T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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 OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HERE Y RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) @s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. r .j .iJ f — . verified by: PERMIT NO. DEPARTMENT OF BUILDING & SAFETY sr 418 5 95 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS D•otte / SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ FT @URINAL Sat Backs Backs VALUATION $ , L-25 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 Plan Checker GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Unit 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 Received by SQ. FT. @ c WATER HEATER License# _ ' '1739 SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Addres..s SQ. FT. GAR @ % c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FE °�ys 1! ' tea.;, MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEEW'SrS ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 5 5 Job O�Q [`� 7 Space ''•'',V7 W ip ` Owney.. Coo;�Uly v "'o f Vol/ua-t�ic r..� f $ / ! A '�—V D•otte / Dist. Off. F.C.C. MH Permit Fee $ Micro Film Fee Cop E Use of Permit / W'q// X Parcel No. /(��y � t /�✓ Use/Case No. Ck Fee Dbl E PI. Ck. Fee $ P1. Ck Sat Backs Backs Lot Size Construction Fee Dbl $ 47 R-0 ,`� -n}y ' 4!V-1111-27 Legal Description 1/z Y""-�� /`.�II`"''',r.y� F S S R Electrical Fee Dbl S Zone Restr'. s Group Type SMI Fee $ Plumbing Fee Dbl S Bond Amt. E Plan No. Plan Checker Final Date Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers f Fee j Mileage Mileage Fee = e Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees S Addre`!,,;,/� -� ,A �• IIej City Zip M.O. .C. Cash Che Received by Con/trq�� for,t / S,r� �+ i eol'5 Tell ✓� / License# _ ' '1739 Trees required Sewage System Addres..s Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Y AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH Ala/ACCORDANCE RIVE IDE COUNTY AND THE STATE OF CALIFORNIA. ;p HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Forrn 284-208 (Rev.8/78) ©s 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 Back S� 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)O. Ej 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 DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N 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. Q 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 c-5.3 License No. G1 �!7 Date Contractor Q OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: [� 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, B.&P.C.). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). Q 1 am exempt under Section B.&P.C. for this reason: Da to Owner. C] 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,,). 1 Policy No. � �� Insurance Fr�jiya Fa t/ �.�{ .( &-m I �1/ (_'o C] Certified copy is hereby furnished. 0 Certified copy is filed with the County of yRiversi"dee�;JDepartment of Building and Safety. Date .S �� / ApplicantilliGf��.GCi�»iJ�f1 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 Applican 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 �r 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 in 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. 0 Division of Industrial Safety Permit No. Date 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 -for which I have applied for this permit for the purpose of making inspections. oe Signature o1'�pplicant gent Date Print Applicant/Agent Name 284-2000 7/80 NOT:CE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT / Permit No 284 199A 9/74 'a CANARY—FILE, PINK—APPLICANT a - k P (S Architect_ __ —__ Contractor Owner[� [Y Address—; VG ��$�►1J7��r4�dc�ress___ Address?5✓�a2 LA C4e City City_—_ City_ Phone Phone _ Phone c x!21 Lu 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 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 County of Riverside and the State of California governing said property. DATE S��.---- SIGNATURE OF OWNER AND/OR AGENT Approval by. Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. 1 USE OF STRUCTURE _ JOB ADDRESS ��=__G) U r �,1S 6W Ho dr✓ g � _ _ SINGLE FAMILY DUPLEX 'TION �7- �r `r Z W LEGA D OF PRO E -TY PARTMENTS O �j AGRIC. N COMMERCIAL ❑ c ^ � INDUSTRIAL COMMUNITY. — J LTERATIONS �� Z NO. OF SUBMITTED PLANS USE OF PERMIT /' _ _ I Lu N Q 4L CASE NO. - p Z NO. OF PARKING SPACES REQUIRED -- NO. OF BUILDINGS NOW EXISTING Q / Kc . ZONE, SETBA(fKS: FRONT %' SIDE REAR J m GRADING PERMIT REQUIRED? YES E) `:N.OF❑ LOT SIZE SETBACK ORDINANCE N OE'- FEET REQUIRED ON STREET DATE/^ ^- .?y SIGNATURE OF LAND USE OFFICIAL — H DEDICATION REQUIRED:' YES ❑ N6. -NO. OF FEET --- z Lu CURB AND GUTTER REQUIREDi;;'.YES NO ❑ STREET Lt" • a CAN CURB AND GUTTER FEASIBLY BE .-INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION'- BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET C tir IMPROVEMENT? YES ❑ NO 3❑. ;; : '. DATE =' 4..; SIGNATURE OF ROAD DEPT. OFFICIAI 2 SWIMMING POOLS PUBLIC '. Q w SEWAGE DISPOSAL �'> — FOOD ESTABLISHMENT = G WATER POLLUTION REMARKS FLOOD CONTROL~' w AIR POLLUTION W 1 S DIV OF HWY f, c — YOUR PROPERTY MAY BE SUBJECT TO a 4 FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 'a CANARY—FILE, PINK—APPLICANT a -