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426155 (SFD)DUILY11r1V rCKM11 PERMIT NO. DEPARTMENT OF BUILDING & SAFETY /I Z S C COUNTY OF RIVERSIDE ,.FIELD v nr+ CONSTRUCTION ESTIMATE ' - NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ 7 G/ $ /9 UNITS Community {P ` /�. I �, •A - +✓ SQ. FT. @ Date ®1 Dist. !..,M�' YARD SPKLR SYSTEM, I ' ;2ND. FL. POR. SQ. FT. @ ' MOBILEHOME SVC. +' / BAR SINK Parcel No. � i / C ���� SQ. FT. @ .. 4 L POWER OUTLET Mach: Fee Dbl $ � R Pl. Ck. Fee" $ - ROOF DRAINS ' GAR. SQ. FT. @ $ $ •"'4 Legal Description - - '�/ � /34 / � � „•C_ 6/' C...' C.11 „�•.+::+, DRAINAGE PIPING F CARP. SQ. FT. @ R• Zone Restrictions � .. Group .�• DRINKING FOUNTAIN -SMI.Fee $ rDb WALL SQ. FT. @ �. �. 'Bond Amt. $�" PIan.No. F URINAL 'ESTIMATED VALUATION' `r Unit 1 z'^_ WATER PIPING $ CONSTRUCTION ,NOTE:, Not to be used as property tax valuation Branch • SWIM POOL, PVT'' Supplimentol rmit Numbers ` {' FLOOR DRAIN tip+ !• t. MECHANICAL FEES MileFee. Mile Fee $ Milage SWIM POOL, COMM,,, Witness Fee $ °► WATER SOFTENER f' $ VENT SYSTEM FAN EVAP. COOL HOOD y l - SIGN' -- WASHER (AUTO ISH). APPLIANCE -DRYER . f - { GARBAGE DISPO AL J Addr r l r , '.Y. .6 ? FURNACE UNIT , WALL FLOOR` SUSPENDED r ' ! - LAUNDRY�'TRAY), AIR HANDLING UNIT. CFM . ense# �y [� - IDLE METER Sewage System KITCHEN SINK 7- 1 ABSORPTION SYSTEM B.T.U. - TEMP USEIPERMITSVC P -214f City - Zip F WATER CLOSET. :y COMPRESSOR HIP POLE,TEMP/PERM ; LAVATORY 1 HEATING SYSTEM* v` FORCED GRAVITY - MPERES SERV ENT. f t SHOWER. BOILER' B.T.U. ` F SQ. FT: @ ft y BATH TUB SQ. FT: @ WATER HEATER f,SQ. FT. RESID @11'AC SEWAGE DISPOSAL 1 FT..GAR @ 1%C - HOUSE SEWER X50; P , G' y GAS PIPING Y t'n PERMIT FEE - _ y PERMITFEE ' 1 •• ", ? PERMIT FEE i DBL. - TOTAL FEES MOB. HM. FEE MICRO FEE , MH. F ' PL. CK. FEE CONST. FEE ELECT: FEE •] SMI FEE FEE PLU B. FEE = •'� . - • . - yr _..- � . �V., ` l`t• 4.'� 1 • - �_ - . -. -PERMIT NO. 4`'6x1.55: • - Job Address - Space Zip y�}J -,�,4�! Owner /9 Community {P ` /�. I �, •A - Valuation $ Y 1 - ter• Date ®1 Dist. !..,M�' .Off. F.C.C. , MH.Permit Fee $ Micro Film Fee Cop $. ' Use of Permit y. > � .. +' / Parcel No. � i / C ���� Use/Case'No. • R •,w Lk. By Mach: Fee Dbl $ � R Pl. Ck. Fee" $ - Set Backs ` Lot Size Construction Fee Electricol.Fee $ $ •"'4 Legal Description - - '�/ � /34 / � � „•C_ 6/' C...' C.11 „�•.+::+, F S S R• Zone Restrictions � .. Group .�• Type � '.[i �e -SMI.Fee $ rDb Plumbing Fee $ �. �. 'Bond Amt. $�" PIan.No. Plan Checker •�' - -� Final Date X -i ) / �V 104pecth., Unit 1 Sp. Insp. Fee $ Dermal. Fee $ Const. Lender Branch • Supplimentol rmit Numbers ` - !• Reg$ MileFee. Mile Fee $ Milage Address City Zip Witness Fee $ °► 'Reinsp. Fee $ Owner/Age r": ' -Tel. Zip r Total Fees $ % Addr r l - City. Zip ' M.O. N.C. Cash EI . Check44- Received by r Contractor • / �^{tf /X,' Tel. ~p:"; ense# �y [� Trees required Sewage System 'Address ^ - -214f City - Zip •� T LL P THIS PERMIT SHALL"BECOME, CIID'IF I06RK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PF -'AIT TO BECOME VOID I I _ ('HEREBY AGREE THAT All WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STA'LOF G1LIr'RNIA. f •}i 1 _ Cj -11 �gl I HEREBY CERTIFY,THAT•rfHE INDIVIDUAL WHO PREPARED T,HE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA Form'284- 08 (Rev 8 B) ©s Lames', _._.-.... .. _ _ ... _. ._.: .;_._� _ .•_. .__r. ...a_LLr:- _.....:_. .. ._._ ,_ _. ,.. _. ___ ._ ---- -- -- _- --__-. moi_.- �_.. •..._._-_ .' __ NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS , MECHANICAL APPROVALS 1 Set Back c 33 Ventilation System ✓/ .i — 34 Plenums & Ducts 2 Ftgs & Frms 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air IFc"/���/ 5 Bond Beams 38 Compressor 6 Roof Deck _2 Q_ f 39 Appl. Clearance 7 Framing • y - 40 Fire Damper 8 Vents / 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. Final 8 43 1 12 10A Fireplace T.0. OP'N ADDITIONAL INFORMATION NO. /AIA.1 024 D/ N!� Ga E/eT-J 1401 ZD X, �/V/A/&%ON V 9^ ��� 9 ,� 0-IrEA2 SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lathl S- 12 Internal Loth 12A Drywall —1 S $' 13 Finish Grade — — INSULATION Thick R Value 7A Walls (Botts) ( �✓$� 12B Ceiling (Batts) �� L 12C Ceiling (Blown) 14 Flnal PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb ✓ �% e�� 18 Vents ✓ l ✓ Irl Z, 19 Sewage Disposal 67 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test — 25 Final Tank MOd Pit U kl7 L.Line REAR OF PROPERTY LINE : ' t P/L vy Pel \ d ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAMEL.2JM NOTICE: T, IS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284- 199A 9/74 CANARY—FILE, PINK—APPLICANT :c 'u Owner—_Z>Z! Architect -- --_ Contractor---.-- z Address�3 — Address___ Address----.— ---- City City-- City------ — r Phone Phone _ Phone—------_--- d, hifd kledge that I (we) have read the application and agree that if Curb and Gutter, and � I (we) the undersigned, hereby certify anacknowledge W 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 propert to be Occup/ii9t1}�'ntil I (we) have ' complied with all laws of the County of Riverside and the State of California governing said property. DATES _ _ 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. F t,s SPACE N0. ,� Q /�'� ° 1 USE OF STRUCTURE Ei % t JOB ADDRESS _. — SINGLE FAMILY DUPLEX F PR PROPERTY LEGAL DESCRIPTION OF _ � APARTMENTS AGRIC. [� Z --- COMMERCIAL INDUSTRIAL r^ COMMUNIY �'� T ALTERATIONS n ' Z N0. OF SUBMITTED PLANS USE OFPERMIT �� _ N a CASE NO. NO. OF PARKING SPACES REQUIRED .— NO. OF BUILDINGS NOW EXISTING y O Z Z -j ZONE ETBA(�KS: FRONT % SIDE 1-_-`—R E_A R ' "A— J Co GRADING'PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZ SETBACK ORDINANCE # OF FEET REQUIRED ON >> STREET' — — DATE— SIGNATURE OF LAND USE OFFICIALIle 1 REQUIRED: YES NO [:�.�O. OF FEET-- t DEDICATION ❑ u CURB AND GUTTER REQUIRED: YES ❑ NO ❑ (� ��brtcttT g 4 d ! s CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET ?° IMPROVEENT? YES 2NO ❑ 70 /� °C / DATE ��� SIGNATURE OF ROAD DEPT. OFFICIAL Rte_ = a SWIMMING POOL 5 allal_.tL / SEWAGE DISPOSAL IM9lAl%--'1 1000 A-lVN :F=S%« wt: M �i' �jrx►Vt Scc?Ac�r -~+ t� = O FOOD ESTABLISHMENT. �i� �]2.CA^ W�R:C �u �r ;� 2_J�— s P, 1 J42" -x 0e, C WATER POLLUTION REMARKS of FLOOD CONTROL H u AIR POLLUTION W DIV OF HWY 0 a YOUR PROPERTY MAY' BE SUBJECT TO — Lu FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284- 199A 9/74 CANARY—FILE, PINK—APPLICANT :c 'u DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE APPLICATION CERTIFICATE PERMIT k• Effective July1, 1980, Chapter 3301 Section 19825•of the Hti'th and Safety Code requires the execu- tion of the following applicable deciarat ons prior to the issuance of a building permit. Please print'or type.and sign below;. . ,�d 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`Buslness and Professions Code and my license is in full force and effect. License Class License No., ;S5 A13 r, Date 5 ( / - 7c I Contractor PA-, ))1)6;6 M&AJ 0 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.). 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 Date Owner B.&P.C. for this reason: L] 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.GD(0 27 ' �G Insurance 0 Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date — /% - ^/ Applicant 4 -r ­, 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 i,s 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 ,)ermit 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 (SecJ3097j 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.) 0 As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial. S%Y- Division >Anoted above, unless such person has a permit to do such work from that 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 wh9,ch I have appl<ed for this -permit for the purpose of making inspections t�;�7w t gent" Date Printpo'icant/Agent Name 284-2000 7/80 I K w z O c1.* 4 CL O UA IX 0 >- Z 1,- Uj LL _j J Q N CO ad all t.: a z W — O z z a J O CL z O Z Z~ za Q W J 0 a- APPLICATION•FOR TREE PLANTING I (we), the undersigned, hereby certify and ackno4ledge that I (we) have read the application and agree that if trees are required under River- side County Ordinance No. 457, the applicant agrees to in`Yall said trees prior to final inspection, It is understood that no final inspection will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the prop- erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of Riverside shall ume no responsibility,/should trees have to be removed due to lot line errors. Owner's Name /)Bu'I ing Permit No. O( Mailing Address Y City State Zip Job Address D� I Community ��� Uz 417-4 Legal Description Assessor's Map, Book & Page 77 Type of Soil = --Rs water available _ - Dept. Plot Plan No. Type of existing trees in road right -o -way Trees preferred by,appplicant (1) iyL (2) Date [n n / Owner's Signature Type Structure �lci�%� I Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Eucalyptus rudis(Desert gum) 15 gal. size Number of trees 1 Spacing of trees Distance from lot lines: Front Side Additional requirementsStreet tree should be 2' inside.property line -and a minimum of 10' from driveway. Date Building and Safety notified 5/22/81 Signature D.M. �`},,. REQUEST FOR EXCEPTION Reason,' t (attach additional page if necessary) Request for hearing: YES ❑ Owner's Signature (Forward application to Planning Dept. if exception requested) Planning Dept. Concur ❑ Date Road Dept. NO REQUEST FOR'HEA'RING Non -concur ❑ Explanation Signature Concur ❑ Non -Concur ❑ Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Date hearing notice mailed to owner Approved ❑ Disapproved ❑ Date Owner notified of decision ry PERMIT NO. DEPARTMENT,OF BUILDING A SAFETY DST 42 6 COUNTY OF RIVERSIDE FIELD OFFICE I /A I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ' IST FL. 2' POR. GAR. 6 CARR WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ 2 P 3-12 .: • UNITS Date :/-///r/ Dist. • / Off. —Z. YARD SPKLR SYSTEM MH.Permit Fee $ MOBILEHOME SVC. BAR SINK SQ. FT. @ Cop $ a4. POWER OUTLET ROOF DRAINS SQ. FT. G @ J DRAINAGE PIPING SQ. FT. •@ Parcel No. / ��r { ��� �`^•'/�/ DRINKING,FOUNTAIN SQ. FT. @ Ck. By • SQ. FT. @ URINAL Pl. Ck. Fee $ VALUATION 3 ra WATER PIPING Lot Size 1 NOTE: Not to be used as property tax valuation Legal Description ,/' /3/ } �l �, V 4•.. / - SWIM POOL, PVT R FLOOR DRAIN Zone Restrictions / •r• / F MECHANICAL FEES Type SWIM POOL, COMM Plumbing • Fee WATER SOFTENER "7G VENT SYSTEM FAN EVAP. COOL HOOD Bond Amt. $�� SIGN Zcker WASHER (AUTO ISH) InspecA c APPLIANCE DRYER 0 Demol. Fee $. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Supplimental Permit Numbers • Y f -" - 1 t Registr. Fee $ Mileage Fee $ LAUNDRY TRAY Witness Fee', $ AIR HANDLING UNIT CFM $ IDLE METER KITCHEN SINK Tel. Zip' ABSORPTION SYSTEM B. -T. U. Total Fees TEMP USE PERMIT SVC ?,. WATER CLOSET Addr rs COMPRESSOR HP C POLE,TEMP/PERM LAVATORY 46© HEATING SYSTEM ORCED GRAVITY 4160 1' 5rAMPERES SERV ENT n SHOWER BOILER B.T.U. / SQ. FT. @ 4/ BATH TUBE SQ. FT. @ WATER HEATER SQ. FT. RESID @114 SEWAGE DISPOSAL d" ' SQ. FT. GAR @j HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE T Q PERMIT FEE DBL TOTAL FEES . MOB. HM. FEE MICRO FEE , MECH. FEE 10/ PL. CK. FEE CO)NS�T.. FEEEQ ELECT, FEE 7 SMI FEE �2 `6 FEE PLUMB. FEE 6 PERMIT NO. 142'6155 Job Address s s s v� oly d� Space �-ip z Owner Co m/un�ity /�� I 1 �ti'•�! Valuation !''� a $ /�ev.,/ - Date :/-///r/ Dist. • / Off. —Z. /F..C.C. <00 MH.Permit Fee $ Micro Film Fee Cop $ r Use of Permit] f Parcel No. / ��r { ��� �`^•'/�/ Use/Case No. Ck. By Mech. Fee Dbl $ Q-aj Pl. Ck. Fee $ Set Backs Lot Size 1 rij Construction Fee Dbl $ L Legal Description ,/' /3/ } �l �, V 4•.. / - F 5 - 5 R Electrical Fee Dbl $ 7 Zone Restrictions / •r• / F Group Its Type SMI Fee $ G, Plumbing • Fee Dbl $ "7G Bond Amt. $�� Plan No. T Zcker Final Date, InspecA c Unit Sp. Insp. Fee $ Demol. Fee $. Const. Lender Branch - Supplimental Permit Numbers • Y f -" - 1 t Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee', $ Reinsp. Fee $ Owner/Age Tel. Zip' Total Fees $ ?,. Addr rs City Zip M.O. ,/N.C.11.C.shn Check Received by Contractor J� � %�,� 1-42)x/ V Tel. • i nse# Trees required Sewage System• - . t 'Address d k' 6 City Z;O /�' G 4) sle 7 - T LL P Sewer District ,Form 284-208 (Rev.8/78)"••••©��s. 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. 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 PREP?tREDJHE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE -WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.