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426628 (SFD)0U1LD111v reKMII PERMIT NO. .426628 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD R R • AAPAA5>Q DST , CONSTRUCTION ESTIMATE NO.. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 1211 SQ. FT. @ e?"+ $ 2 1537,43 UNITS A7 EN 1 DA O BR P:GON X253 HORN 2ND. FL. SQ. FT. @ CoammunittyT Valuation Dote Dist. Off . YARD SPKLR SYSTEM MH.Permit Fee FOR. GAR. 3 -' J CAR P. SQ. FT. @ T #1 pyo 7� .ik Q0SN;L& MOBILEHOME SVC. Micro Film Fee BAR SINK SQ. FT. @ 24:64.00 POWER OUTLET ROOF DRAINS DRAINAGE PIPING SQ. FT. @ Use/Cose No. WALL E15j"r,SQ. SQ. FT. @ Db1 ~Y! m p e /t ��oifttPermit WELLING Fit.0 LL S NG AND A � ITIARAGE AND DRINKING FOUNTAIN 774114017-4 FT. @ 1 0 .9 80 URINAL ' ESTIMATED CONSTRUCTION VALUATION $ 33,712,20 - 1 WATER PIPING F ` NOTE: Not to be used as property tax valuation Construction Fee Dbl 2 2 Legal Description iZ(7onne Is SWIM POOL, PVT iLJ �1O FLOOR DRAIN Dbl MECHANICAL FEES O T 7 :ULA 1 8 q . S C V Q, '19 SWIM POOL, COMM WATER SOFTENER 't, ; VENT SYSTEM FAN EVAP. COOL I HOOD 0 SIGN C 2 6 2. WASHER (AUTO)(DISH) APPLIANCE DRYER 1.40 Y� " N-, . 1 GARBAGE DISPOSAL ,!' o FURNACE UNIT WALL FLOOR SUSPENDED Bond Amt. Plan No. Plan Checker LAUNDRY TRAY Final Date AIR HANDLING UNIT CFM Unit IDLE METER Sp. Insp. Fee KITCHEN SINK ws^+ ABSORPTION SYSTEM B.T.U. /� 00253 TEMP USE PERMIT SVC 2 WATER CLOSET. COMPRESSOR ,J9J91 HP 7 " / , POLE, TEMP/PERM $ LAVATORY Const. Lender Branch HEATING SYSTEM FORCED GRAVITY 4,M 10 0 AMPERES SERV ENT lry SHOWER I 7 Lit, BOILER B.T.U. SQ. FT. @ t BATH TUB Witness Fee $ SQ. FT. @ c WATER HEATER 252 Reinsp. Fee $ 1 12 11 SQ. fT. RESID @I t/.t4 Owner/Agent 1. SEWAGE DISPOSAL Tel. Zip c GiCA. SQ. FT. GAR @ '. c 210 HOUSE SEWER 568-104 Total Fees $2 GAS PIPING Address PERMIT FEE 0 PERMIT FEE 3 MW PERMIT FEE 4 R 91 DBL. TOTAL FEES .. MOB,HM.FEE MICRO FEE MECH. FEE PL. CK. FEE 16.7P CONST. FEE��y tL. 0 ELECT. FEE 2 7 5 SMvI9FEE.� I' 3 FEE PLUMB. FEE Q Q, 5 171 PERMIT NO. Job Address 53 635 � � Space Zip Owner 4 2 6 6 2 8 A7 EN 1 DA O BR P:GON X253 HORN CoammunittyT Valuation Dote Dist. Off . MH.Permit Fee Is T #1 pyo 7� .ik Q0SN;L& .� �j e� y/� g ag (� q { �pF.C.C. $ 3s.7F12r,LCf lbC"`12-81 1.L 001. Micro Film Fee Copl$ Use Parcel No. Use/Cose No. Ck. By Mech. Fee Db1 ~Y! m p e /t ��oifttPermit WELLING Fit.0 LL S NG AND A � ITIARAGE AND 774114017-4 Bs Pl. Ck. Fee - Set Backs Lot Size YI Yi>{>TyypeK,Jr Y:J KJ YJ i/ K! 000 0ra0 000Electrical Construction Fee Dbl 2 2 Legal Description iZ(7onne Is F S CRlestrictionsU J YPii rl +,J 62At 60G 60G iLJ �1O Fee Dbl 2 O T 7 :ULA 1 8 q . S C V Q, '19 SMI Fee $ C 2 6 R 1 LGyrloUuplg R —3 Y� " N-, . Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Final Date spe for Unit Sp. Insp. Fee $ $ /� 00253 Dental. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ - RB O)426628 Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip HORN 568-104 Total Fees $2 Address City r Zip M.O. C. Cash Check 0 BOX 1636 PATH DESERT S Received by 'r�w�..%""�b GRa rector Tel. License# Trees required TL'�irj�ilt %^lI r. Sewage System Address 7✓tiw City Zip T Ll P Sewer District Form 284.208 (Rev.8/78) 0s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT W-fLL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNT-, AND -THE STATE OF CALIFORN: A. 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. verified by: �Y NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back �L 33 Ventilation System 7 / 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade .1a IV 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 On 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. C] 43 Final _ 10A Fireplace T. 0. P' ADDITIONAL INFORMATION _ -4 / ` d ^ ^ -P-11 V b� �cY / n �V` V •v1.J �% r/NA l (yJQftDJA!(r �EjdQr/r/1�c(D UER6A1� NyO p J v/E%T, ���TER Y•C4`� 9 .�.J-�) SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath .f, 01 l)A_ 12 Internal Loth 12A Drywall 13 Finish Grade ` / INSULATION Thick R Value 7A Walls (Botts) 3 S l �- 12B Ceiling (Batts) r i 12C Ceiling (Blown) p 14 Final —/p (- PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 7 �g 18 Vents 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 9- 24 Gas Test — 25 Final _ / / Tank/ao Pit b kL. Line REAR OF PROPERTY LINE 1 NO%i`/moil - • PSL 1 ELECTRICAL APPROVALSq 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME0_,4AP719/"' Y Z t— O �. N Q � N D O Z us N Q D Z Z-0 Q _ J � m 43 Add City eI77 Phoneme �b NOTICE: THIS IS NOT A•BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE - Architect Address City_ Phone e DISTRICT Permit N (5 9 zs v Contractor Address— City_ Phone -- I (we) the undersigned, hereby certify and acknowledge that l (we) have read the application and agree that if Curb and Gutter; and Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety shall not make a Final Inspection until said requirements have been met. 1 am also aware that no work is to be done within the County R/W 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 �w ! SIGNATURE OF OWNER AND/OR AGENT e� Approval by Signature from the Following Departments Listed Below a Must Be Obtained Prior to the Issuing of a Construction, Permit. Ear I SPACE NO. a ✓ �C�% {, 7 I USE OF STRUCTURE JOB ADDRESS �� J' SINGLE FAMILY DUPLEX LEGAL DESCRIP 1 t� F PROPERTY �� `a 17 1 2 y �� 5"' — 0 1.7 — — APARTMENTS � AGRIC. COMMUNITY COMMERCIAL INDUSTRIAL / �`�� ALTERATIONS [] NO. OF SUBMITTED PLANS ----- USE OF PERMIT r -✓ -1 CASE NO.' d NO. OF ARKING SPACES REQUIREDNO. OF BUILDINGS NOW tiXISTING SIDE ZONESREAR AD GRADING PERMIT REQUIRED? YES -0 NO ❑ LOT SIZE - SETBACK ORDINANCE II _— OF FEET REQUIRED ON , STREET DATEp �— SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES -0 NOK NO. OF FEET__ ! `/' W CURB AND GUTTER REQUIRED: YES ❑ NO�, ��, _ ETT d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVE AY AND STIR OOF IMPROVEMENT? YES NO ❑�- 0 DATE —� � SIGNATURE OF ROAD DEPT. OFFIC _S.Wimms 10 Poets PUBLIC W SEWAGE DISPOSAL khStAll. Jap C�t"-�V\- q <: C �p1� Dirt �\ tX\4� SC��1Cci �t (. 3 irT = DReft ESTN T 3 t3� t1 °1i� • S( �' i WATER POLLUTION REMARKS �n FLOOD CONTROL m W AIR POLLUTION _ DIV OF HWY o a — YOUR PROPERTY MAY BE SUBJECT T..O to o FLOOD. RIVERSIDE COUNTY ASSUMES . p NO RESPONSIBILITY'IN EVENT OF FLOOD. 284 199 .9174 CANARY—FILE, PINK—APPLICANT t DEPARTMENT OF BUILDING AND -SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N Effective July 1, 1980, Chapter 1301 Section 19825•of the`NQalth 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 Professions Code and my license is in full force and effect. i License Class License No. i Date Contractor Q OWNER -BUILDER DECLARATION I hereby :affirm that I amexempt 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.). Q I am exempt under Section B.&P.C. for this reason: Date Owner [] 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 Q Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant Q CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if permit valuation is for $100.00 or. less.) 1 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 L7ice. I hereby certify that no excavation five (5) or more feet in depth intp'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.) Q 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- per" Tor whicchh I have applied for this permit for the purpose of making inspections. cSa•gna.ture of pp 'rcant/Agent // Da'ire Prat Applicant/Agent Name 284-2000 7/80 1z W Z O 0 O yaj 990 (9 > _ZW O LL J mN � 0 z . Z~ za Lu 0)-- Z J � a 0)-- Zt' Uj LL J Q N m 95 i ^' APPLICATION FOR TREE PLANT114G I (we), the undersigned, hereby certify and acknowledge 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 install 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 assume no responsibility should trees have to be removed due to lot line errors. 41. / Owner's Name's �� • Mailing Addres City Job Addresst hV�h;P/CI i1J S7 Legal Description Z.✓✓�/�'��� 4eolx % /2 Assessor's Map, Book 8, Page ���2 � `�� �� ' O 17 Type of Soil 3_49W 12Iswater available Road Dept. Plot Plan No. Type of existing trees in road right/ -of -way -Y0/1/&_ Trees preferred by applicant (19) (2) Date v �/ Owner's Signature ung ermit o. State zA�) Zip Community Planning Commission Case No. i ROAD DEPARTMENT APPROVAL Approved speciesEucalyptus rudis(Desert Gum)152al.size Number of trees 1 gpacing..of trees Distance from lot lines: Front Side Additional requirementsStreet tree should be 2' inside right of way and a •-st•xx i minimum of 14' from driveway. Date Buiilding and Safety notified 7/22/81 Signature D.M. REQUEST FOR EXCEPTION Reason Request for hearing: YES ❑ Owner's Signature Planning Dept. Concur ❑ Date Road Dept. (attach additional page if necessary) - -7 (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING 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 Date Building & Safety notified Signature OPROVAL BY BUILDING INSPECTOR Final Date zs-d/Inspector_ Building Pea C_Z Job Address � — � S Community - Requirements for tree planting complied with ------ --- Remark s (Detach and forward above information to Road Department Riverside) 284-230, REV. 1/74 PERMIT NO. 426628 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 1211 SQ. FT. @ ,*i2;3, 7,4fjUNITS }.53 OBREGON sr �2253HORN • 2ND. FL. POR. SQ. FT. @ N YARD SPKLR SYSTEM ' Community MOBILEHOME SVC. BAR SINK SQ. FT. @ Disl. =� Off. • � GAR. 3 SQ., FT. @ $ POWER OUTLET ROOF' DRAINS $ 33712.20 106-12-811 CAR P. SQ. FT. @ WALL +p�y SQ. FT. @ +JG SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION 9 33712.20 Cop $ DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING Use of Permit NOTE: Not to be used as property tax valuation Parcel No. SWIM POOL, PVT FLOOR DRAIN Mech.Fee MECHANICAL FEES 0 SWIM POOL, COMM, WATER SOFTENER 774114017-4 VENT SYSTEM FAN EVAP. COOL I HOOD SIGN 2 WASHER (AUTO)(DISH) -Ci 30 APPLIANCE DRYER 330 - 1 GARBAGE DISPOSAL .250 FURNACE UNIT WALL FLOOR SUSPENDED Construction Fee Dbl $ 21100 Legal Description F fARjl 05 LAUNDRY TRAY /}t. o IbiC/ AIR HANDLING UNIT CFM Dbl $ IDLE METER I KITCHEN SINK AB$ORPTION.SYSTEM B.T.U. Group TEMP USE PERMIT SVC 2 WATER CLOSET COMPRESSOR 350 HP 7 POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY 4 ao I 001AMPERES SERV ENT0 SHOWER BOILER B.T.U. R _ Dbl $ SQ. FT. @„ C BATH TUB f Plan Checker SQ. FT. @ t WATER HEATER Unit 12 11 SO. FT. RESID 01'AC r 114 1 SEWAGE DISPOSAL 0 *' $ 00250 320 SO. FT. GAR @ 1%< HOUSE SEWER f_,- - GAS PIPING $ PERMIT FEE 300 PERMIT FEE PERMIT FEE '. DBL. TOTAL FEES 3 MOB. HM. FEE MICRO FEE MECH. FEE 20.50 PL. CK. FEE 8,781, CONST. FEE ELECT. FEE 211.00 25,541� SMI FEE • FEE PLUMB. FEE PERMIT NO, Job Address 635 t Space ip Owner 4 66 Q }.53 OBREGON sr �2253HORN N Community Valuation ate Disl. =� Off. F. C. C. MH.Permit Fee $ LA tiINTA- $ 33712.20 106-12-811 11 5 002 Micro Film fee Cop $ Use of Permit Parcel No. Use/Case No. Ck. By Mech.Fee Dbl $'. 0 WILLIN0, AND ATT GARAGE 774114017-4 PI. Ck. Fee $Sze - Set Backs Lot Size �J fU 1STTyype YJYI iV YJ KD 'W' 000 000 000 Construction Fee Dbl $ 21100 Legal Description F fARjl 05 /2 YJ /}t. o IbiC/ Electrical Fee Dbl $ 2t 4 V T! 7 9Z -K 189, S C V IQ 19 Zone Restrictions Group SMI Fee $ 2 Ll. lRn3 Y -"N Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Finol'Dote Inspect r Unit Sp. Insp. Fee $ $ 00250 f_,- - Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers '. Registr. Fee $ _. RB04 I56,28 _ Mileage Fee „r, S Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip _ t i�J N - 1048 Total Fees Is ,� 2 ^ Address City` Zip • M.O. C. Cash Check P M f� n 0 BOX 16:58 �yJ PALS DESERT S Received by actor Tel. License# - Trees required Sewage System 'r Address � City 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. 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 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) ©s verified by:. s