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427576 (BLCK)saysrvssw rcwn -+ PERMIT NO. DEPARTMENT OF BUILDING & SAFETY �� 4-27576-1 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. SQ. FT. @ $ UNITS D�W'�e'y /«J }/��/ / ' �/ 4l SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS ep?p WALL ✓ O SQ. FT. @ Pi. Ck. Fee $ DRAINAGE PIPING SQ. FT. @Z� 4a DRINKING FOUNTAIN Legal Description /j��I 1 ��9y )t f{•+f!"�i"'itJ( L./!r�/ V� / SQ. FT. @ R URINAL ESTIMATED CONSTRUCTION VALUATION $ Group 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) T APPLIANCE DRYER tGARBAGE Const. Lender Branch DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Mileage Fee § 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 Add res' SQ. FT. @ c WATER HEATER SQ. FT. RESID. @1 /.c SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE • PERMIT NO. 4 2 7 5 7 6 .- .., .. - _ - . _ _: .. _-----^--.rte---„—�� _ - -- -. Job Address Space -� e <�r� a�/�,.), tp Owne , Community. //'�J /,,/ ,I " �' - L,.� " �/7 lVolued n , § � D�W'�e'y /«J }/��/ / ' �/ 4l Di/sir l F.C.C. MH.Permit Fee § Micro Film Fee Cop § Use of Permit /jb�t /'9��'�"//��®7I.� �,y,Cj� ROF�' TfCI Parcel No. % Use/Case No. Ck. BY. Mach. Fee Dbl $ Pi. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl § Legal Description /j��I 1 ��9y )t f{•+f!"�i"'itJ( L./!r�/ V� / F S S R Electrical Fee Dbl § Zone Restri s �' Group Type SMI Fee Is Plumbing Fee Dbl § Bond Amt. § Plan No. Plan Checker Final Date Inspector Unit Sp. Insp. Fee § Demol. Fee § Const. Lender Branch Supplimentol Permit Numbers - Registr. Fee § Mileage Fee § Address City Zip Witness Fee § Reinsp. Fee § Owner/Agent Alp Tel. Zip Tocol Fees § Addr s � City Zip M.O. C. s Check Received b Contractor 1) Tel. �% g f E,/�v licenseNc_ 4t Trees required Sewage System Add res' Ci ' 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. ....... 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS.PERMIT WILL•BE DONE IN ACCORDANCE WITH'- THE ITH_THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF, CALIFORNIA" 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 34 Ventilation System Plenums & Ducts 2 Ftgs & Frms �p/ UU 2A Slab Grade 35 Furnace Comport. 3 Steel r 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. 43 Final 10A Fireplace T.O. NPON ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Volue 7A Walls (Batts) 12B Ceiling (Batts) 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 25 Final Tank Pit L.Line P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS 0. _ P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME ;:,rr ti�'S r r.T fi,�-,►:.{.rn.��i; ,:♦ '.j„♦^'r`;r.t•-{a^r �.T„�{,,,, .;},y ,,,,.,'Cv`r ?;�.-r..`.: �3;:tt w.rn rr, r.��?• �4r s....+: ...y;....r �,.l-• _ ..i r DEPARTMENT•OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE, PERMIT # Effective July -,l, 1980, -Chapter 1301 Section 19825•of the HEalth and Safety Code requires the execu- N; 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 th/ej Business and,Professions Code and my license is in fu force and effect.. License Class ;C/` License No. Date z Contractor44,k Q OWNER -BUILDER DECLARATION' 3 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.). - cn" . 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 C-3WORKERS' COMPENSATION DECLARATION x, I hereby affirm that I have a certificate of consent?to self -insure, or a Certificate of Workers'' Compensation Insuranc[e, or a certified copy thereof'(Sec. 3800, Lab. Code). Policy No. C/00��7 3��i Insurance 5774+71 0 Certified copy is hereby furnished. ' ` e Certified copy is filed with the County of Riverside, Department of Building and Safety./� Date / / �'! Applicant l" a CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ,r (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 R Lender's Address Y" ,DIVISION OF INDUSTRIAL'SAFETY PERMIT CERTIFICATION Q Thereby certify that no excavation.five (5) or more feet in depth into which a person is re- quired to'descend, will be made in'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.) r [] 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. ; AM Division of ,Industrial Safety Permit - ,No. Date Applicant , :T 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- , pexrty for hien I'have applied foe,t is permit for the purpose of making inspections. Signature ofpTic nt gen / Date Print Applicant/ gent Name / "F f 284-2000 7/80 `ti.z 3.:: ��� t. 4 ., r., ti .] r .. £.� it �,.°.:, 4't �-v. .f ,t . ': i � '+♦ °t''.� 1.1.�?k� P 'I: P t .a �, ,r,p art - r.,y� f a_..,.xt rt!'-ri.'_L...t,..tt;.•.•,�,�i_. .v..,1a.i ..:ufi+.r5.'4cca.,w.:�.y.,n+• � _ _ a`�3f,�':. -,..� st4 .w�.�-':•�,1:.:.e�F.krkkt`_ �rx L r_.��`�r �e y.9+ir.e...�icf �E1.:2�:'L,..f�.e7.... k._ PERMIT NO DEPARTMENT OF BUILDING & SAFETY �% 14275761 COUNTY OF RIVERSIDE - FIELD.OFFICE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES I ST FL. 2ND. fl. POR. GAR. nWALL ESTIMATED CONSTRUCTION " SQ. FT. @ UNITS, Voluoti n y $©/ C✓���`(/ SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC.' SQ. FT. @ BAR SINK, r POWER OUTLET. SQ. FT. @ ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ FT ,,, DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION 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 Plan Checker GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Unit t J LAUNDRY TRAY, AIR HANDLING UNIT CFM IDLE METER' KITCHEN SINK ABSORPTION SYSTEM B. T. 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. @ t BATH TUB Received SQ. FT. @ t WATER HEATER Licen�se# el -3L SQ. FT. RESID @I,/, C SEWAGE DISPOSAL 1 Addres SQ. FT. GAR @ 3/4 c HOUSE SEWER' s GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL'FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE , FEE PLUMB: FEE T LL P Sewer District Form 284-208 (Rev.8/78) ©s I 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. Job Address,, Space 7 /7i� �j . (1/47 , G . Ci V / G ✓�,l„% y+' i PERMIT NO. 7 7 j�ya 142 i' f �/ Community //�/� ��^�l �^} """ �.�( �� v f�/7 Voluoti n y $©/ C✓���`(/ 7 F.;) / Di �, F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit•- .! (9^� /� ���/, 'i N / f 7VS •If' w /`� j I Parcel No. /p ��//��O/V Use/Case No. � Ck. B � Mech. Fee Dbl b - PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description F ������}}}}}} ZZ /-'6 'r✓�I V�w�Cw✓ - S 5 R Electrical Fee Dbl $ Zone Restri s +a. Group Type SMI Fee $ Plumbing Fee Dbl $ - Bond Amt. $ Plan No. - Plan Checker Final Dote Inspe for Unit t J Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimenial Permit Numbers %% +t�f ' /n 9 1-7 �JJ - Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ AdIss City - Zip M.O. Q &C. Check Received Contractor 'P" Teell^'�/ rl g— Licen�se# el -3L Trees required X Sewage System 1 Addres p p zip T LL P Sewer District Form 284-208 (Rev.8/78) ©s I 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.