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426365 (PLBG)
ttaainvmv rescmn PERMIT No. DEPARTMENT OF BUILDING a SAFETY Dsr 4263651 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. SQ. FT. @ $ UNITS 42636 5 YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ �� GAR. SO. FT, @ CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Voluo ion Dateist. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER MH.Permit Fee VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL Cop $ FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY Parcel No. Set Backs F S 5 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK PI. Ck. Fee $ ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM LAVATORY Type HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER Dbl $ BOILER B.T.U. SQ. FT. @ c BATH TUB FjJX� SQ. FT. @ c WATER HEATER Unit SQ. FT. RESID @1 /.c SEWAGE DISPOSAL, •- - $ S0. FT. GAR @ '/, c HOUSE SEWER GAS PIPING '171 C PERMIT FEE Const. Lender PERMIT FEEPERMIT FEE Supplimental Permit Numbers DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEEFPL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE L MB."'FEES S PERMIT NO. Job Address space Zip Owner 42636 5 �� Community Voluo ion Dateist. Off. r F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of rmit Parcel No. Set Backs F S 5 We'—se No. Lot Size R Ck. By Mech. Fee Dbl $ PI. Ck. Fee $ Construction Fee Dbl $ Legal Description I I�.�• �^y v� �"' TT`• / Electrical Fee Dbl $ Zone RestrictionsGroup Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. Plan No. Plon Checker FjJX� Ins cto Unit Sp. Insp. Fee $ $ Dental. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ O\0wne+r/Age 7 Tel. moi'` Zip • Total Fees $ Address City Zip M. 0. N. E) C.sIto Check 47��. Received by . ontractor - Tel. License# , Trees require Sewage System Address Cit Y Zip T LL P Sewer District s Form 284.208 (Rev.8/78) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified b; FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH PHIS PERMIT WILL BE DONE JN ACCORDANCE WITH r THE LAWS OF RIVERSIDE COUNTY•AND THE STATE OF CALIFORNIA:,, L �c 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. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE IroSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & 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. El 43 Final 10A Fireplace T. 0. E] No ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE 8 LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 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 a� 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 8UItDING AND SAFETY ~- COUNTY 0P RIVERSIDC OWNER=BUILDER VERIFICATION Addres° An "owner builder" builaing permit'has.been applied for in your name and beari.ng your signature: �. Please complete and return this information in the envelope provided at your .'.e.arliest opportunity to avoid unnecessary delay in processing and issuing you r building permit: No building permit will be issued'upfl I this verification is recei ved'. ,. ;.1.. I personally plan to provide the major -labor and materials for con-. struction of the proposed property improvement (yes or no) 4101 / 2. h'-(have/have not) signed an application for building permit for -'the proposed work. I have contracted with the following person (firm) to provide the pro- posed 'cons:tructi on : Name Phone Address City Contractors License No. 4. I plan to provide portions of the work, but I have hired the following .person to coordinate, supervise, and provide the major work: Name Phen� Address . :....... _ _ .._ - tY Contractors L 5. 1 will provide some of the work but I hav'e contracted (hired) the fol- lowing persons to provide the work indicated: Name Address Signature Pr# qg Owner Jr�O J� z/4 ^ /":, .F F.5 - Social Security Number 284-2002 7/80 Phone Type of .work Date 14 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner -builder you are the responsible party of re- cord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the pro- per permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and, where required, to have a business license from the city or county. They are also required.by law'to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware 'of the following information for your benefit and protection. If you employ or otherwise engage an persons other than your immediate family, and the work. (including materials and other costs is $200 or -more -for the -entire project, -and such.persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemploy- ment compensation, contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally_ or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an,"owner- builder" building permit, rroneously implying that the property owner is provi.ding his or her own labor and material personally. 'Building permits are not required to be signed:by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community -or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, DEPARTMENT OF BUILDING AND SAFETY . Q Leopoldo Rojo, Jr. Director 284-2001 7/80 NOT:CE: *AIS4.A'S NOT'A.BUILDING :PERMITI'l I C' AP06k' TI'ON TOCONSTRUCT' DEPARTMENT' OF BUILDING -AND' SAFETY .COUNTY 'OFRIVERSIDE DISTRICT Permit No 284 10A 9/74 CANARY—FILE, PINK—APPLICANT Owner.?1. A,rchirtec,t Contractor--..-- 0eR Address----------- Address oX& 7 1Addess— Cityg_,4 Ci,,-- City------- C Phone 56Y-' 'e7 X0 5� Phone Phone— I (we) the undersigned, hereby certify and acknowledge. that I (we)h,a've,-read ,the.:-app.lication and agree that if Curb and Gutter, and MA 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: also aware that no work is to be done -within the County R/W shall not make a FinaL Inspection until said requirements have n am s+w;,�'t e b 0 without an encroachment+, permit. NOW, therefore, itis 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 SIGNATURE OF OWNER AND/OR.AGENT_ Approval by Signature gnature fro'm the Following Pepartments Listed Below Must Be Obtained Prioi:,tci,the -issuing. of- a Constirisction Permit. SPACE NO. USE OF STRUCTURE JOB ADDRESS SINGLE FAMILY [] DUPLEX I Z LEGAL DESCRIPTION I SCOF PROPERTY APARTMENTS E] AGRIC. 7_ 2 c�� o 4,-- COMMERCIAL INDUSTRIAL IL 5: o cbm'MUNITY iy A7LTT-ER-ATIONS z NO ',»OF SUBMITTED PLANS USE OF PERMIT Lu < LA c4s.t,islo. z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING Z < -j ZONE Z SETBACKS: FRONT —SIDE REAR _j :) GRADING PERMIT REQUIRED? YES ❑ NO 1—) LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON STREET 41, DAT . E SIGNATURE OF LAND USE OFFICIAL DEDICATION. REQUIRED: YES 0, NO F-1. N0. OF FEET --- Lu CURB AND GUTTER REQUIRED: YES 0 NO F1 STREET CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO 0 LU HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR *ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES El NO D 0 ce -DATE SIGNATURE OF 'ROAD, DEPT; OFFICIA! SWIMMING POOLS PUBLIC SEWAGE DISPOSAL Lu LU x FOOD ESTABLISHMENT WATER POLLUTION REMARKS 4A FLOOD CONTROL— z AIR POLLUTION DIVOFHWY cYOUR PROPERTY MAY BE SUBJECT TO 0 c. FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 10A 9/74 CANARY—FILE, PINK—APPLICANT Yv PERMIT NO. DEPARTMENT OF BUILDING & SAFETY- - DST 6 6 COUNTY OF RIVERSIDE FIELD OFFICE // CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. -2ND: FL.SQ. POR:: ra GAR. CAR P. WALL -ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Owne FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS 4 SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPWG 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 MH.Permi, Fee 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 Set Backs SQ. FT. @ c WATER HEATER Construction Fee Dbl $ SQ. FT. RESID @1'hc SEWAGE DISPOSAL F SQ. FT. GAR @ 3/4 C HOUSE SEWER R Electrical Fee Dbl $ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEE_ r� MOB.HM..FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE - SMI FEE FEE PLUMB. FEE PERMIT NO. Job Addressr Space Zip Owne 4 2 6 3 6 5 "off Ccm unity Value $ ion Do,e Dist. F.C.C. MH.Permi, Fee $ Micro Film Fee "Copis Use of PermitParcel V� r t % 9V r No. Use/Case No. Ck. By Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description ,ter+ � "Ile`.' / - •.... / F S 5 R Electrical Fee Dbl $ Zone Res' ns Group Type y SMI Fee • $ �` Plumbing Fee Dbl $ I Bond Amt. Plan No. Plan Checker Final Dale Inspector ' Sp. Insp. Fee $ • $ •� Demol. Fee $ Const. Lender - Branch Supplimental Permit Numbers - - Registr. Fee $ Mileage Fee $ Address City- Zip Witness Fee $ Reinsp. Fee $ net/Ag Tel.• Zip Total Fees $ Address City - Zip �` M.O. ,C. Cas Check %'1P'V IJ G' Received Contractor Tel. License# Trees 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 CAUSE PERMIT TO BECOME VOID; r o, [ 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 (Ray.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.