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RER (426168)PERMIT NO DEPARTMENT OF BUILDING & SAFETY DST 42616 fl COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ Valuation $ UNITS ! I 2ND. FL. POR. GAR. SQ. FT. @ MH.Permit Fee $ Micro Film Fee Cop $ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. WALL SQ. FT. @ Lot Size •. Construction Fee Dbl E DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ SMI Fee $ Plumbing Fee Dbl E WATER PIPING NOTE: Not to be used as property tax valuation Plan Checker SWIM POOL, PVT FLOOR DRAIN r MECHANICAL FEES Sp. Insp. Fee $ SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Fee $ SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Reinsp. Fee $ Ow 5/A.ent GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Total Fees $ Adores LAUNDRY TRAY AIR HANDLING UNIT CFM Received by V/�„-.� IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. frees required TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Zip POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SHOWER BOILER BT. —U SQ. FT. @ c BATH TUB SQ. FT. @ C WATER HEATER SQ. FT. RESID @ 1 V. c SEWAGE DISPOSAL S0. FT. GAR @ 3/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEE MOB. HM. FEE MICRO FEE MECH. FE PL. CK. FEECONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 426168 Job Address Space ` s2 tfcly Ai.V' YYi�,,d©�� Zip q"t2) Ow er ^ r. �' vss e I �'OL,� Co muni``ty 1 � C V Valuation $ Dot •J _ 12 ! I Off. c. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ U of Permit _ 7 S' /j °y. ` �`(+� , • vryy ` �r •� S /V n fi C �. Z=-+ J- J u vs, Parcel No. / ! 3 .C. J "" Use/Cose No. - Ck. B _y '} •� Mech. Fee Dbl E Tf��^ PI. Ck. Fee $ Set Backs Lot Size •. Construction Fee Dbl E Legal Description '(j I � C V L F S S R Electrical Fee Dbl $%' Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl E Bond Amt. $ Plan No. Plan Checker Fina�te � Ins ctor Unit Sp. Insp. Fee $ Dental. Fee E Const. Lender Branch Supplimental Permit Numbers .. Fee $ Mileage Fee $ e Mileage Address City' Zip Witness Fee $ Reinsp. Fee $ Ow 5/A.ent Tel. Zip Total Fees $ Adores City Zip M-O-rI N.C. �{ash Check Received by V/�„-.� Contractor „Ka t ; r� V 11 AL,,,,-, � ''NC h,r \ Tel. •� „):� LicenseX frees required Sewage System 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 4,THCIAWt, HEREBY AGREETHAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH tOF RIVERSIDE COUNTY AND THESTATE',QJ=.CALIFORNIAt EREBY 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 ' I INSPECTOR NO, OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS f 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & 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. C] 43 Final - 10A Fireplace T.O. P' ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION I1 Exterior lath 12 Internal lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 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 P/I 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final [J STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No ..0') A 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner J -� �' chitect-- ___ _�_ Contractor— Address _—_ddress--- Ciryk, p.G _ City -- Phone Phone _ Phone—_A_�_�d_—. _ cc 1 (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and 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 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 proper t be occupie until I (we) have complied witty II la of the Countv of Riverside and the State of California governing said property. S DATE /--=--- 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. l '2 I SPACE NO. USE OF STRUCTURE 7Ty� ZQ JOB ADDRESS /" SINGLE FAMILY DUPLEX > 2 _ � � Q 7S Z W LEGAL DESCRIPTIO OF P PERTY /a p���/ — APARTMENTS AGRIC. �! Q COMMERCIAL INDUSTRIAL n j `^ COMMUNITY ; q W ❑ Z NO. OF SUBMITTED PLANS — US O F PERMIT LCASE NO.—�-���— C Z NO. OF PAWING SPACES REQUIRED "— NO. OF BUILDINGS NOW EXISTING — — OF ZONE FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBAC D AN # OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIA -- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - — F z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET oe 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 °C DATE — SIGNATURE OF ROAD DEPT. OFFICIAI Z SWIMMING POOLS PUBLIC 4W SEWAGE DISPOSAL S FOOD ESTABLISHMENT WATER POLLUTION REMARKS vt FLOOD CONTROL— z AIR POLLUTION _DIV OF HWY t— 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 .� APPLICATION CERTIFICATE COUNT•Y'OF RIVERSIDE PERMIT N Effective July 1, 1980, Chapter 1301 Section -19825 -of the Htalth 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 Businessand Professions Code and my license is in full force/and effect. License Class, iy _ License No. �� � 9 Date 3-1m / Contractor Q 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 B:&P.C. for this reason: Date Owner Q 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 certif a copy thereof'(S ec: 3800, Lab. Code). �f Policy No. ��%� �7 Insurance Q�.Certified copy is hereby furnished. r Ceptified c//op.y is filed with the County of Riverside, D p�a/;rtment of Building and Safety. Date �)`�,,�1�� Applicant �(tl�n�/!l 14 Vnrk '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 makingihis Certificate of Exemption, I should become subject to the Workers Compensation provisions of t'he�]abor code, must forthy°lith comply with such provisions or this permit shall be deemed -revoked. � *'` ) / !l Date •5/N-/,1;5/ Applica 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 compl/p4ith all state laws and county ordinances relating to building construction, and authorize a representative of t e County of Riverside, Department of Building and Safety/to enter upon the pro- p4nyaf if'or which 10r.v applie.'d' for this permit for the purpose of making-ins'pectioas. �e o�ppTicnt/�gent Date Print Applicant/Agent Name 284-2000 7/80 DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE TIME PERMIT NUMBER _ INSPECTION ADDRESS I SPACE NO. REQUESTED FOR; �.M. OWNERCOM UNITY BUILDING PLUMBING ELECTRICAL MECHANICAL awoo,` L.J TUTS Win REMARKS: THUR O FRI ' OWNER/CONTRACTOR TEL.NO. zea -es Erns �V�LV�nV r T LL P Sewer District Form 284-208 (Rev.8/78) as 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 GF -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. PERMIT NO. 426168 Job Address Space 52� A,� ii? endazA DEPARTMENT* OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE , r7ST !/ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINGI IFEES IST FL. SQ. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION FT. @ UNITS F.C.C. SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK 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 Sp. Insp. Fee E GARBAGE DISPOSAL FURNACE UNIT WALLFIS. SUSPENDED Supplimental Permit Numbers LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP 22�2HEATING POLE,TEMP/PERM LAVATORY SYSTEM FORCED GRAVITY AMPERES SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB Sewage System SQ. FT. @ c WATER HEATER Zip SQ. FT. RESID @1'hc SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEEp MOB.HM.FEE MICRO FEE MECH. F PL. CK. FEE CONST. FEE /c'LECT.,.FE�E'y SMI FEE FEE PLUMB. FEE T LL P Sewer District Form 284-208 (Rev.8/78) as 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 GF -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 52� A,� ii? endazA Zip `�1Zs3 Ow r K GS5 e pun PERMIT NO. 1,426168 CoTmun.ty vt f fr•�• U i+ t f Valuation E D e.. Drs// I 1 i Off. F.C.C. MH.Permit Fee E E`^- Micro Film fee rDb Mech. Fee E U of Permit 10 LfY �r e _c [�� /�y�1' +fir CSA"(�fVnQCt `"l -JA / r � V` Parcel No. r 7�—Z7 2;-00lPI. Use/Case No. Ck. By Ck. Fee E Set Backs Lot Size Construction Fee E Electrical Fee Dbl E Legal Description F //�� L /) VV I� scv% S S R Zone Restrictions I// Group Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final DoteInspect Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimental Permit Numbers Registr. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Ow. ./,:1 ent Tel. Zip Total Fees E Ad City t Zip M.O. .C. ash Check Received by. Contractor/� ..� C A IJ /' y/� A L✓ �`� C`vl e.�-7 Tel. '3Go.� License# Trees required Sewage System Address City Zip T LL P Sewer District Form 284-208 (Rev.8/78) as 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 GF -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.