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404247 (BLCK)RI 111 nimr. DCDAAIT PERMIT NO. 4 04247 PERMIT NO. _lob Address S-? DEPARTMENT OF BUILDING & SAFETY Zip Owner n Communn�ity Fy� �% ��� $�`�' Val/ua%tion $ �'"' ✓ L/ V Date �� �'�s f% Dist. ✓ / FIELD DST MH Permit Fee $ 404247 COUNTY OF RIVERSIDE Parcel No. •� r•t•;;i���• Use/Case CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING ;FEES .r 1ST FL. SO. FT. @ $ UNITS 2ND. FL. SO. FT. @ Construction Fee Dbl S % YARD SPKLR SYSTEM POR. SO. FT. @ MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. SO. FT. @ DRAINAGE PIPING WALL " .• SO. FT. @ �. 1 �. DRINKING FOUNTAIN Bond Amt. S Plan No. URINAL . FT. @ Inspector ESTIMATED CONSTRUCTION VALUATION $ Sp. Insp. Fee 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 Owner/Agent 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. SO. FT. @ a BATH TUB ) City SO. FT. @ 4 WATER HEATER SO. FT. RESID @lt/4a SEWAGE DISPOSAL SO. FT. GAR @ 3/4a HOUSE SEWER ` GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TO\TAI MOB. HM. FEE MICRO''FEE MECH. FEE Pl. CK. FEE E ELECT.. FEE SMI FEE FEE PLUMB. FEE Ono �CT1411 PERMIT NO. 4 04247 _lob Address S-? Space Zip Owner n Communn�ity Fy� �% ��� $�`�' Val/ua%tion $ �'"' ✓ L/ V Date �� �'�s f% Dist. ✓ / Oflf� ,r+ F.C.C. , MH Permit Fee $ Micro Film Fee Cop $ User Permit n -- �' V G�/p� ,.r GCs .O t- C ;" ,� f/L� lrf.,/ r/.1.- f(".:. •' rj �`T" �I Parcel No. •� r•t•;;i���• Use/Case No. Ck. BB \� /J, J_ Mech. Fee Dbl $jr PI. Ck. Fee S Set Backs Lot Size 7 fes• `t i �: s� !Type Construction Fee Dbl S % Legal Description J/ /// r,.� �r '�L� �" ` F 5 S R Electrical Fee Dbl 5�'� Zone Restrictions, s Group SMI Fee $ Plumbing Fee Dbl $ Bond Amt. S Plan No. Plan Checker - Final Dote QQ' / Inspector Unit Sp. Insp. Fee S Darrel. Fee $ Const. Lender Branch Supplimentol Permit Numbers Registr. Fee $ Mileage Fee $ Address 1 City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip ; Total Fees S " Address City Zip - M.O. [3 N -. 0 Cosh C] Check Recei- by •-' / Contracta?) .L. L..../ ✓ Cr4 iJ Tel. t �� ' ��•� r Ij� Licensett W� ./ �. Trees oiF \,...,;:%'1P'f'.c'i.J—^" Sewage System r r. tiv Address City Zip !s T Lt 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 Form 284-208 (Rev. I/80) DANCE 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 1 Set Back 11 - 134 v 33 Ventilation System 2 Ftgs 8 Frms 1 O 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 1 - / Q 36 Inlets 8 Outlets 4 Grout Blocks 4-3 Q l� V (/ 37 Combustion Air 5 Bond Beams / _ 1-- L 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. °p" NO.' ADDITIONAL INFORMATION � n /f � V ✓ — ,3 / SEWAGE SYSTEM SIZE & LOCATION 11 Exterior lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 Ceiling (Batts) 12C Ceiling (Blown) 14 Final Q _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 P/L P/ y ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PER DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE r� r ti 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owner �Architect Contractor ��- Addres r Address Addre City City— City Phone_, HSeS6 Phone Phone hal cz 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 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. / �`�+ LC' DATE: SIGNATURE OF OWNER AND/OR AGENTI/1� Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the'Issuing of a Construction Permit. —177 I SPACE NO. _ USE OF STRUCTURE �- J©�!�� i. JOB ADDRESS -� SINGLE FAMILY []' DUPLEX } LEG CRIPTION OF R RTY / Z f - APARTMENTS[ AGRIC. N Q J c. COMMERCIAL INDUSTRIAL LJ '^ GALTERAP-O Z COMMUNITY s. ❑ NO. OF SUBMITTED PLANS --- USE OF PERMITLU f.d/ Q CASE NO. p Z NO. OF PARKING SPACES REQUIRED N0. OF BUILDINGS NOW EXISTING . a ZONEZSETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES .❑ NO ❑ LOT SIZE t SETBACK ORDINANCE i$ OF FEET REQUIRED'ON; STREET DATE =_v SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_- F, CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET t- d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O IMPROVEMENT? YES ❑ NO ❑ �. DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC SEWAGE DISPOSAL WW FOOD ESTABLISHMENT = O WATER POLLUTION REMARKS �n FLOOD CONTROL W AIR POLLUTION W DIV OF HWY c < — .YOUR PROPERTY MAY BE SUBJECT TO c T FLOOD. RIVERSIDE COUNTY ASSUMES w NO RESPONSIBILITY -IN EVENT OF FLOOD. ti 284 199 9/74 CANARY—FILE, PINK—APPLICANT iY.� ` L.....,� .- _ .y . .- '` K ' "^«rn...J`44'�.J. _�. .. �..t....•h..,...�,�..�....++.•..r. ^ .,..1+.,.r ar " DEPARTMENT OF BUILDING -AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N Effective July1, 1980, Chapter 1301 Section 19825•of the A"I th 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 Businessand Professions Code and my license its in full force and effect. License Class 8— / „ , Li c "nse No.3- 6/317 9 c/ Date / / I 7 _ XK) Contractor 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. 7031.5;'B.&P.C.). [� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). 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, or a certified copy thereof'(Sec. 3800, Lab. Code). Policy No. Insurance — F] Certified copy is.hereby furnished. Certified copy is filed with the County, of Riverside, Department of Building and Safety. Date rte. j—�Q Applicant 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 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 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- pe.r-ty for wp'ich I have appli d for this permit for the purpose of making inspections. Signature of Applicant/Agent Date ,q; vAf Print pplicant/ gent Name ufF�;Jy ' 284-2000 7/80 f. BUILDING PERMIT PERMIT NO. DEPARTMENT OF -BUILDING & SAFETY FIELD OFFICE' COUNTY OF RIVERSIDE 40.424• ti ... CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING' FEES 1ST FL.` , - 'SQ. FT. @. $ 2ND. FL. SO. FT. @ ..POR.. SQ. FT. @ • UNITS v MOBILEHOME SVC` ' YARD SPKLR"SYSTEM i "• BAR SINK F ' -'GAR.. SQ. FT. @ - POWER OUTLET `. ROOF DRAINS CAR P. SQ: FT. @ s ' ' DRAINAGE PIPING r• ' WALL. SQ. Fd. @• 71- 4(10.'�` @ ESTIMATED CONSTRUCTION VALUATION $ DRINKING FOUNTAIN -. :.URINAL ' WATER PIPING. NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAI , . -• 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 - LAUNDRY TRAY ''r •. 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 . a -SO. FT. @ a. WATER HEATER I - S0: -FT. RESID. @11/44 '' SEWAGE DISPOSAL r S0. FT., GAR r+ 3A t: HOUSE SEWER I .. - <. r 'Z. • GAS PIPING ' PERMIT FEE PERMIT FEE ' PERMIT FEE DBL^ TOTAL_ S� ; 'MOB. HM. FEE MICRO'FEE MECH. FEE ..GCl/ PL. CK. FEE CONSTC ELECT. FEE - SMI FEE FEE PLUMB. FEE PERMIT NO. 7 -4042 .441 lob Address , z� Space Zip Owner/,///✓,�/J. -t - L F� . J Community` y� Valuation D • Do/te / Dist. OIL, F.C.0 MH Permit Fee Micro Film Fee Cop 5 Use of Permit �b! - p .�+ /f% GR/� • ,�"G% Parcel No. - /� V 7 _ Use/Case No. - - Ck. By Mach. Fee ` Dbl .S PI. Ck. Fee - 5 r Set Backs - lot SizeLegal S S R !'V��Canstruciion'Fee /`Electrical ne Restrictions .Group c' Type - Dbl S DescriptionTF � -Y �� /�`���10Q -Fee Dbl S SMI Fee' 5 Plumbing Fee �, Dbl $„ Bond Amt. $ Plan No. Plan Checker Final Date Insuor Unit Sp. Insp. Fee $� Demol. Fee S _ Const. Lender Branch . , - Supplimentol, Permit Numbers r Regisir. Fee . S .. • Mileage Fee $ Address City Zip Witness Fee g Reins#. Fee $ Owner/Agent Tel. - .. Zip �$ddfrless'_ Total Fees S . City - -.Zip ' M.O. Q. N. Cosh Q 'Check Receive by • Contra - {{// - pp ly. Z6 Tel. 9 License# Tre Sewage System ", AddressJ�//'''�]•�// // C't1 /,y ��.{,/� s Zip /f/,!'LV •, 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. '< `l HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE,DONE IN -ACCORDANCE WITH • �. 1 + • _ THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. L/CJl/`\Jj I HEREBY CERTIFY THAT THE INDIVIDUAL WHOPREPARED'THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 2e4-208 (Rev: I/80). DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: