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CPWU (413164)52333 Avenida Martinez 413164 BUILDING PERMIT PERMIT NO, DEPARTMENT OF BUILDING & SAFETY 1316 4 COUNTY OF RIVERSIDE FIELD _ nj I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE. 1ST FL. SO. FT. .@ $ 2ND. FL. SO. FT. @ POR. SO. FT. @ GAR. SO. FT. @ CAR P. SO. FT. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. - POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tote 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 tri GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ym 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. SO. FT. @ a BATH TUB SO. FT. @ a WATER HEATER Construction Fee Dist S ego es ipti S0. FT. RESID @ 1 1/4a SEWAGE DISPOSAL S R S0. FT. GAR @ t/4a HOUSE SEWER ------••• T--''''' ,+ '') / ,. ;(1 Zone Restrictions Group GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEESM "_ OB. HM. FEE I MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLdVb- TEL= F PERMIT NO. 413164 Job Address T LL P Space zip Owner Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. , m' V, -/] I HE Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED•THE PLANS AND SPECIFICATIONS HAS DONE SO IN MH Permit Fee $ DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. S tri Micro Film Fee Cop S ym , Parcel No. U se/Cafe 100. Mach. Fee Del $ Pl. Ck. Fee S A t Lot Site Construction Fee Dist S ego es ipti F S S R Electrical Fee Del S ------••• T--''''' ,+ '') / ,. ;(1 Zone Restrictions Group Type SMI Fee S r Plumbing Fee Dist S d'hi• o No 41— Checker Final Inspector Unit Sp. Insp. Fee S $ , z— II l — $b Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee S Mileage Fee S Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees E 011 Address City Zip M.O. ❑ N.C. ❑ Cash ❑ Che r• Received by Contractor .. Y .,,„. Tel. Licensen Trees requi" 4 - s Sewage System Addra ' — C C / / City Zip b , verified by: "_1TKLt?C 6VCCIAY5. 1C5eS T LL P S- 0ME VOID IF WORK IS NOT COMMENCED V*FI1 ?ION 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 t THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HE Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED•THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 484.408 (Rev. 1/80) DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSKCTOR i BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 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. E 43 Final 10A Fireplace T. 0. ❑ No ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior lath 12 I Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A I Walls (Batts) 12B 1 Ceiling (Batts) 12C { Ceiling (Blown) 14 Final PLUMBING APPROVALS. 15 Ground Plumb 16 I 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 2^ l� _ Tank Pit L. Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT '0�a Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owne/741-2/'/ k L4� T&= ✓ Architect __ _ Contractor Address—� ,?_3 4''* Z C2Address___ Address City -4 0U/_0L7_4'4 City--n— Phone Phone ce W 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 /laws of the County of Riverside and the State of California governing said property. .,all DATE LG���-{�-- SIGNATURE OF OWNER AND/OR AGENT ` Approval by Signature from the Following Departments Li15a Below Must Be Obtained Prior to the Issuing of a Construction Permit. PACE N0. JOB ADDRESS ,� GZ- USE OF STRUCTURE SINGLE FAMILY DUPLEX ^^��7/�00 } L L DESCRIPTION OF PROPERTY // 3 Z uj - a�Z �G� APARTMENTS AGRIC. (� Q COMMERCIAL Ej INDUSTRIAL n j '^ C COMMUNITY . � ALTERATIONS C Z NO. OF SUBMITTED PLANS _ USE OF PERMIT S Lu a CASE NO. - _ p Z NO. OFR RKIN SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING Q 0 ZONE ��' ETBA(fKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK OR INANC 90 1— FEET REQUIRED STREET DATE SIGNATURE OF LAND USE U2-- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__— _ W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET i H oc a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O o9 DATE SIGNATURE OF ROAD DEPT. OFFICIAI I SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS to FLOOD CONTROL H W AIR POLLUTION W = DIV OF HWY f. c a — YOUR PROPERTY. MAY BE SUBJECT TO a c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE APPLICATION CERTIFICATE PERMIT k Effective July 1, 1980, Chapter 1301 Section 19825'of the Health 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. License Class ,(' _ _ ? ( Date /7/',,„ /r,. Contractor [� OWNER-BUILDE DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the fol('lowing 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 , B:&P.C. for this reason: Date Owner M 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. EJ Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant Lrltl CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE r v (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/p,t Applicant ON 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.) 0 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- perty fon which I �ha e� applied for this permit for the purpose of making inspections. Zp igna� re of p� an�ti�ent Date Print"Applicant%Agent Name 284-2000 7/80 9VILVIIVb rCKmn PERMIT NO." 413164 PERMIT NO. 4 1316 4 ' DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE DST CONSTRUCTION_ ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES - Va uotio S 1ST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. .@ $ UNITS is SQ. FT. @ YARD SPKLR SYSTEM MH Permit Fee $ SO. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS - i SQ. FT. @ DRAINAGE PIPING Parcel No.juse/Cd"e ttI SO. FT. @ t DRINKING FOUNTAIN Ck. By SQ. FT. @ r URINAL PI. Ck. Fee $ VALUATION F' $ WATER PIPING NOTE: Not to be used as property tax$koluotion SWIM POOL, PVT FLOOR DRAIN MECHA CAL FEES SWIM POOL, COMM WATER SOFTENER Electrical Fee DbI S VENT SYSTEM FAN COOL HOOD SIGN WASHER (AUTO)(DISH) SMI Fee S APPLIANCE DRYER Q GARBAGE DISPOSAL FURNACE UNIT WAIL FLOOR SUSPENDED LAUNDRY TRAY Inspector AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Dental. Fee S ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET . COMPRESSOR HP POLE, TEMP/PERM LAVATORY Mileage Fee $ HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ a BATH TUB Tel. Zip SQ. FT. @ a WATER HEATER Address S0. FT. RESID @ 1 t/<a SEWAGE DISPOSAL City Zip S0. FT. GAR @ 1/<a HOUSE SEWER C°mrat t a Tel. GAS PIPING LicensaR PERMIT FEE Sewage System PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEEMICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PL B. rtP'^^ sv PERMIT NO." 413164 ' Job Address Space Zip Owner ommuni y - Va uotio S to is F.taf MH Permit Fee $ Micro Film Fee Cop $ e Vfyfmi - i Parcel No.juse/Cd"e No. `' Ck. By Mech. Fee Dbl S PI. Ck. Fee $ t cli Lot Size Construction Fee Dbl S/ Legal DescriptioK F IS S R Electrical Fee DbI S Zone Restrictions Group Type SMI Fee S Plumbing Fee Dbl $ 4 Q Ofion Am .-Pict $ n Checker Final to Inspector ' Unit 9C Sp. Insp. Fee $ Dental. Fee S Const. Lender Branchti` supplimentol Permit Numbers Register Fee S Mileage Fee $ Address City Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ M.O. E] N.C.E] Cash Q Chea Address City Zip Received by C°mrat t a Tel. LicensaR Trees requ a Sewage System Address City Zip T LL P THIS "PERM *SRALL`SECUME VOID IF WORK IS NOT COMMENCED' r/SrrRIIN I ZDWS. rCE4eA ION OF WORK verified by: 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 H Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE .PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. 1/80) RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.