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426917 (SFD)OUILD11VG reKmIIF PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 4 2 6 917RB 0426917 COUNTY OF RIVERSIDE FIELD MDITJ PERMIT NO. CONSTRUCTION ESTIMATE Job Address ,i .Y NO. ELECTRICAL FEES NO. PLUMBING FEES 426917 ' IST FL. 1'211 SQ. FT. @ 23.40$ 23337.40 2253 HORN UNITS Community 2ND. FL. MH.Permit Fee SQ. FT. @ ` M r7jN+A 1$ 33712-2005-30-81 YARD SPKLR SYSTEM Micro Film Fee Cop y POR. 320 SQ. FT. @ 7.70 C 464 .00 MOBILEHOME SVC. No. BAR SINK Mech. Fee DbI GAR. CAR P. YO AND A1Aty ELL!NG TT GARAGE SQ. FT. @ 774414018-5 POWER OUTLET ROOF DRAINS PL Ck. Fee s SQ. FT. @ DRAINAGE PIPING WALL � y 2 SQ. FT. @ Legal DescriptionD Construction Fee Dbl b 020 b05 � 01 Electrical Fee DRINKING FOUNTAIN r 2 �y (��y {r q 4 10 J{. 8 L9 181.) :3 S � t� Q 19 URINAL SQ. FT. @ • r d2910.80 ESTIMATED CONSTRUCTION VALUATION $ 3 1:2 •20 Type SMI Fee 1 WATER PIPING 2 R51 NOTE: Not to be used as property tax valuation flZone iR 1 SWIM POOL, PVT IV FLOOR DRAIN Plumbing Fee Dbl $ 44- MECHANICAL FEES' Plan No.. SWIM POOL, COMM WATER SOFTENER In, actor VENT SYSTEM FAN EVAP. COOL 1 HOOD �E '� 0 SIGN $ 2 WASHER (AUTO)(DISH) 5 0 APPLIANCE DRYER 1 330 1 Demol. Fee 1 GARBAGE DISPOSAL 2 0 FURNACE UNIT WALL FLOOR SUSPENDED Registr. Fee $ LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER Witness Fee 1 KITCHEN SINK 2 ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC Reinsp. Fee 2 WATER CLOSET 5 0 COMPRESSOR 350 HP 0 POLE,TEMP/PERM 2 LAVATORY 5 0 HEATING SYSTEM 1 FORCED GRAVITY 430 1 Vj0 AMPERES SERV ENT 500 1 SHOWER 2 0 BOILER B.T.U. Zip SQ. FT. @ t Cash 1 BATH TUB 2 0 PkLM LFSER S. Receive SQ. FT. @ C 1. WATER HEATER 2 0 Licensed Trees &dried 1 SQ. FT. RESID @ 1 t/. C 1 5 4 1 SEWAGE DISPOSAL 1 �i Sewage System 3 -70 --SQ. FT. GAR @ '/. C 210 HOUSE SEWER City Zip GAS PIPING PERMIT FEE 3�0 PERMIT FEE v Qj PERMIT FEE 450 DBL. TOTAL FEES 312.6F3 MOB. HM. FEE MICRO FEE MECH. FEE 20.50 PL. CK. FEE P? .78 CONST. FEE 1 211.0 1 ELECT. FEE 25.54 SMI FEE 2.36 FEE PLUMB. FEE 441.50 PERMIT NO. —�' Job Address ,i .Y Space Zip Owner 426917 AVENIDA OBREGON 2253 HORN Community Valuation DateDist. Off. MH.Permit Fee E ` M r7jN+A 1$ 33712-2005-30-81 0FF..C.C. 11 5 01 Micro Film Fee Cop y Use of Permit \ -DWELLING Parcel No. Use/Case No. Ck. By �.- Mech. Fee DbI YO AND A1Aty ELL!NG TT GARAGE 774414018-5 BS �:I PL Ck. Fee s Set Backs Lot Size '"c4 000 000 60-01 'U Legal DescriptionD Construction Fee Dbl b 020 b05 � 01 Electrical Fee Dbl s r 2 �y (��y {r q 4 10 J{. 8 L9 181.) :3 S � t� Q 19 Restrictions Group Type SMI Fee s 2 R51 flZone iR 1 R-.3 IV -N Plumbing Fee Dbl $ 44- Bond Amt. Plan No.. Plan Checker Final Date In, actor Unit Sp. Insp. Fee $ $ /� r� 09'!,G 1 Demol. Fee $ Const. Lender - Branch SSuppllii�mentai Permit Numbers Registr. Fee $ RB042 '49 Mileage Fee s Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip AN MORN 56,3-1348 Fees $ Address city Zip M.O. N.C. Cash Che O B01 1638 PkLM LFSER S. Receive Contra c Tel. Licensed Trees &dried Sewage System Address City Zip T LL P .Sewer District ' p ,Form 284-208 (Rev.8/78) ©s 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 CONNEC:".?1 WITHTHIS PERMIT WILL BE DONE IN ACCORDANCE WITH' THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. � J I HEREBY CERTIFY THAT THE INDIVIDUA 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: NO. OPERATION DATE r INSPEC�R NO., OPERATION DATE INSPECTOR BUILDING APPROVALS — }• MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms _ 34 Plenums & 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 _ d 39 1 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents3 -1 ✓ 41 Smoke Detection Device Ile 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T. 0. ADDITIONAL INFORMATION NO "y / 11 SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath • /.2 12 Internal Lath 12A Drywall 13 Finish Finish Grade L d✓ INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final D/ 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 00 Pit / L.Line PSL REAR OF PROPERTY LINE I C J1D Pj � d I ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance /� 29 Wiring i-31 29A Grounding Wire 298 Bonding 30 Fixtures i 31 Service 32 Final STREET NAME W W z 0 0 oIL W W 0 >- Z I- W LL 3;% J Q N to a6 cD F O z z~ za aW J � CL 05 f t� 'v APPLICATION FOR TREE PLANTING 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 remove due to lot line errors. ����/ Owners Name s/� Build' arm No. Mailing Address d City9 tote C Zip g�:R R-6 3- c-� l? �r0 i Job Address � U Legal Description r c, f • I 16 C Assessor's Map, Book & Page Type of Soil -A is water available _--C.&dLRoad Dept. Plot Plan No. Type of existing trees in road right-of-way Trees preferred by applicant (1) (2) Date r Owner's Signature Type Structu Planning Commission Case No. ROAD DEPARTMENT APPROVAL (3) Approved speciesPinus halepensis(Aleppo pine) 15gal.size Number of trees 1 Spacing of trees Distance from lot lines: Front Side Additional requirementsstreet tree should be 2'inside right of way and a minimum of 10' from driveway. Date Building and Safety notified A14/81 Signature D.M. REQUEST FOR EXCEPTION Reason (attach additional page if necessary) Request for hearing: YES ❑ Owner's Signature (Forward application to Planning Dept. if exception requested) NO REQUEST FOR HEARING Planning Dept. Concur ❑ Non -concur ❑ Explanation Date Signature Road Dept. Concur ❑ Non -Concur ❑ Date Signature REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing established Approved ❑ Disapproved ❑ Date Building & Safety notified Date hearing notice mailed to owner Date Owner notified of decision Signature z ,Ianl' c a Ina! ;01 q DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE ae PERMIT # Effective July 1, 1980, Chapter 1301 Section 19825*of the h"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 sigm,below:- 0 LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine;sand Professions Code and my license is in full force and effect. License C ss Date Q I hereby affirm that OWNER -BUILDER DECLARATION 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.). Q I am exempt under Section B:&P.C. for this reason: Date Owner 0 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. �49_da 33.C' -O Insurance �� Q Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date 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 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 - pert or whit I have applied for this permit for the purpose of mak' inspections. ign ture o p scant/ gent Da- Print ater nt Applicant/Agent Name 84-2000 7/80 h NOTICE: THIS IS NOT A BUILDINGPERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No ; `i 284 199 9/74 CANARY—FILE, PINK—APPLICANT Own /� & Architect Contractor Addrree4a, Address Address_ CittrrifyyGl��'/1GGJ City City_ Phoneme �� Phone Phone . cc 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. - I DATE v 2/ - 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. USE OF STRUCTURE JOB ADDRESSSINGLE FAMILY DUPLEX C EGAL DESCRIPTION OF PROPERTY T° r/ - q — APARTMENTS AGRIC. l• N N l( / • —7 COMMERCIAL INDUSTRIAL LJ j COMMUNITY. � p aj �+ 4 1 ALTERATIONS n. —" _ USE.OF PERMIT Z N0. OF SUBMITTEQPLANS 'W^ } - EASE NOt�/L e, i PARKING SPACES REQUIRED ^ i NSO. OF BUILDINGS NOW_EXISTING j ZONE ETBAC'KS: FRONT SIDE r REAR'�� ® �' Co GRADING PERMIT REQUIRED?� YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE a,OF FEET REQUIRED ON — STREET DATE • ?` SIGNATURE LAND USE OFFICIAL/, {OF t DEDICATION REQUIRED: YES ❑ NOZ- NO. OF FEET___. CURB AND GUTTER REQUIRED: YES ❑- NO v�L.d/�STREET W CAN CURB AND GUTTER FEASIBLY .BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE 'APPLICATION BEEN MADE FOR ENCROAC MENT PERMIT FOR DRIVEW AND STREE i IMPROVEMENT ES NO ❑ � DATE SIGNATURE OF- ROAD. DEPT. OFFIC S aW IC SEWAGE DISPOSAL21"i5tALA— �,Ooo �ftOLk � S�'t.c ��ic �,� �N� ] (,� X _ O Fee9 EsTA=MENT 3g Pik. 7 i'i El. Y WATER POLLUTION -REMARKS �n FLOOD CONTROL z AIR POLLUTION- W ' DIV OF HWY o < — YOUR PROPERTY MAY BE SUBJECT. TO d o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT 284-141 Rev. 6/77 BUILDING PERMIT' _ PERMIT NO. - DEPARTMENT OF BUILDING & SAFETY 426917 COUNTY OF RIVERSIDE FIELD OFFICE �� ������� DST 711 CONSTRUCTION ESTIMATE Job Address NO. ELECTRICAL FEES NO. PLUMBING*FEES 426917 1 ' IST FL. 1211 2ND. FL. FOR. GAR. • CAR P. SQ. FT. @23-4:0 s �L 2 337 .'0=0 UNITS . Calnmuni�yp Dist. Cff.+ F.C.C. Valuati�rn� SQ. FT. @ YARD SPKLR SYSTEM 8 SQ. FT. @,• MOBILEHOME SVC. BAR SINK �j� q/�� 8 33 12.6. Y/ 4f 66 W��� SQ. FT. @ POWER OUTLET ROOF DRAINS Micro Film Fee SQ. FT. @ DRAINAGE PIPING Use of Permit • WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION s • • Use/Case No. Ck. By DRINKING FOUNTAIN URINAL i WATER PIPING . 250 WELLING AND ATT GARI AGL NOTE: Not to be used as property tax valuation 774114018.5 SWIM POOL, PVT FLOOR DRAIN PI. Ck. Fee 8 MECHANICAL FEES SWIM POOL, COMM Lot Size 000 000 000 WATER SOFTENER 020 1 0 5 X10 5 010 Electrical Fee , VENT SYSTEM FAN EVAP. COOL I HOOD 330 SIGN Zone Restrictions � � !� 2 WASHER (AUTO)(OISH) 5 0', APPLIANCE DRYER 11 i, I GARBAGE DISPOSAL 250 1'7—N FURNACE UNIT WALL FLOOR SUSPENDED Plumbing Fee Dbl 8 _ Bond Amt. LAUNDRY TRAY Plan Checker AIR HANDLING UNIT CFM Inspector IDLE METER Unit 1 KITCHEN SINK 250 8 ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC — 7 WATER CLOSET COMPRESSOR HP 750 POLE,TEMP/PERM LAVATORY Registr. Fee HEATING SYSTEM }. FORCED GRAVITY 430 10 0 AMPERES SERV ENT 500 1 SHOWER 250 Witness Fee BOILER B.T.U. SQ. FT. @ .c 1 BATH TUB G 0 a SQ. FT. @ . c Zip WATER HEATER 250 AN HORN 568"1040 1211 SQ. FT.�Dl 15 f- 1 SEWAGE DISPOSAL 10 0 City Zip SQ. FT 240 1 HOUSE SEWER PALM DESERT S M.O. n N.C. Cash Chec GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE 6. 0 DBL. TOTAL FEES 312.FS MOB. HM. FEE MICRO FEE MECH. FEE 20 50 'PL. CK. FEE .__ 8.78 CONST. FEE _y211,,,00 ELECT. FEE _25.514 SMI FEE 2. ";6 FE PLUMB. FEE 44.50 PERMIT NO. Job Address Space Zip Owner - 426917 N1IDA OBREGON C �/�e� IHORN Calnmuni�yp Dist. Cff.+ F.C.C. Valuati�rn� MH.PermitFee, 8 A..QUINTA �j� q/�� 8 33 12.6. Y/ 4f 66 W��� �tp 5 1001 Micro Film Fee Cop 8 Use of Permit Parcel No. Use/Case No. Ck. By Mech. Fee Dbl $ WELLING AND ATT GARI AGL 774114018.5 1 IBS PI. Ck. Fee 8 Set Backs Lot Size 000 000 000 Construction Fee Dbl 8 Legal Description 020 1 0 5 X10 5 010 Electrical Fee , D61 8 qq �j' t'� {� �'tt }'{ LOT G UK 189 v/ C Y �:L Q 19 Zone Restrictions � � Type SMIFee 8 rGrouppz d'► -3 1'7—N Plumbing Fee Dbl 8 _ Bond Amt. Plan No. Plan Checker Final Date Inspector Unit Sp. Ins p. Fee 8 8 2 4 — . Demol. Fee 8 Const. Lender Branch Suppliimental Permit Numbers Registr. Fee 8 RB042$91.7 Mileage Fee 8 Address City Zip Witness Fee 8 Reinsp. Fee 8 Owner/Agent Tel. Zip AN HORN 568"1040 Total Fees 8 16111 Address City Zip 0 BOX 1638 PALM DESERT S M.O. n N.C. Cash Chec Receive Contra Tel. License# Trees qre _ Sewage System Address city Zip + r. T LL P 'Sewer District t r w I Form 284-208 (Rev.8/78) @s ._I r 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 PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. � . At .