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BLCK (413809)BUILUINU YtKMI I PERMIT NO, DEPARTMENT OF BUILDING '& SAFETY FIELD DST 1413809 l COUNTY OF RIVERSIDE'" 1 e CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. FOR. GAR. CAR P. WALL ' �%ct4'T'i ESTIMATED CONSTRUCTION SO. FT. @ $ Community sr ' •!1'. 1. L._ UNITS Valuation,/ $ SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ DRAINAGE PIPING SO. FT. @ AJ7� r,yy� �� a ' DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ r, :;i 'a � WATER PIPING NOTE: Not to be used as property tax valuation PI. Ck. Fee S SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Construction Fee Dbl S s P t7 SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD R SIGN WASHER (AUTO)(DISH) ' APPLIANCE DRYER Group , GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plumbing Fee Dbl S LAUNDRY TRAY AIR HANDLING UNIT CFM Bond Amt. S IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Unit TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR_ HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Supplimentol Permit Numbers - AMPERES SERV ENT SHOWER BOILER B.T.U. Address City Zip r• SO. FT. @ a BATH TUB . $ SO. FT. @ a WATER HEATER Tel. / Zip S0. FT. RESID @ 1 t/<a SEWAGE DISPOSAL $ ✓ S0. FT. GAR @ 3/aa HOUSE SEWER ' City ,', ,w� ��. G, / Zip .f t. >. r ....• GAS PIPING PERMIT FEE r! e�tr ,c ftsw•`2. �. 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. 41389 lob Address .,_ .- Space - ' / ..,•. .. Zip T` �+ .-1 .,. O -ne f/, 1 I �. Community sr ' •!1'. 1. L._ (.' J...'• •ii Valuation,/ $ Dote / Dist. Olt. F.C.C. MH Permit FeeS Micro Film Fee Cop $ Use of Permit , ,r 1' `;'{�' !✓"",�'.t: tom'`... !!./' M,y %'4%•��. L/ %' Parcel No. / � c+'S !%..i /; I_, s/-G,� Use/Case No. Ck. By fY�::4 r• Mech. Fee Dbl S PI. Ck. Fee S Set Backs Lot Size Construction Fee Dbl S s P t7 Legal Description i tr• ` .'/' / �, .,mak• ...� r;�,^„ ..r C. ;• N'r' f ,.. F 5 5 R Electrical Fee Dbl E Zone Restrictions i :� -.. 1 Group , Type SMI Fee S Plumbing Fee Dbl S Bond Amt. S Plan No.Plan Checker Fin Date�i� ; Inspe for .�.' V7�j_ 8 Unit Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch Supplimentol Permit Numbers - Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee Reinsp. Fee $ Owner/Agentpgm«;. c('x•-•.` Tel. / Zip Total Fees $ ✓ Add ess f �;1'tf `/{I:: R if i,7' /'i City ,', ,w� ��. G, / Zip .f t. >. r ....• M.O. ❑ N.C.C] Cash Check -Received byr• r! e�tr ,c ftsw•`2. �. Contractor Tel. License# Trees required Sewage System I )t •�^ Address City - Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District . FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. '4 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. - - t I EREBYCER I IFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ///►��`i'% Form 284.208 (Rev. 1/80) "���-- "'\ ^ ITH SECTION 5541 OF THE BUSINESS' AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. /// NO. OPERATION DATE BUILDING APPROVALS INSPECTOR NO. OPERATION DATE INSPECTOR MECHANICAL APPROVALS ' 1 Set Bock 33 Ventilation System 2 Ftgs & 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 39 Appl. Clearance ' 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Deice 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.O. [] °o ADDITIONAL INFORMATION „ SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick 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 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 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the bui of the property improvements specified.., , r. For your protection you should be aware that as owner -builder you are the responsible party of r cord on such a permit. Building permits are not required to be signed by property owners unless they are personally -performing their own work. If your work is being performed -by someone -other than yourself, you may protect yourself from possible liability if that person applies.for the F per permit in his or her name. Contractors are required by law to.be licensed and bonded by the State of California and, where required, to have a business license from the city or county. They are also required by law to their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that,you plan to subcontra you should be aware of the following information for your benefit and protection.. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200-o'r more for the entire project, and`such persons a not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, -you must register with the state and federal government as an'employer z you are subject to several obligations including state and federal income tax withholding, feder social security taxes, workers' compensation insurance, disability insurance costs, and unemplo3 ment compensation contributions. , There may be financial risks for you if you do not carry out these obligations,'and.ihese'ri'sks especially serious with respect to workers' compensation insurance. _ For more specific information about your obligations_ under federal law, contact the Internal Re) Service (and, if. you wish, the U.S. Small Business Administration). For more specific informat• about your obligations under state law, contact the Department of Benefit Payments and the Divi! of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are all( to perform their work personally or through their own employees, without a licensed contractor subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an,"owner- builder" building'permit, erroneously implying that the property owner, is providing his or her labor and material personally. Building permits are not required to be:signed by'property owner unless they are performing their own work personally. Information 4aboUt.licensed.contractors may be obtained by contacting the Contractors', State Lic( Board •in.you.r,communityior at 1020 N Street, Sacramento, California:'95814. Please complete and return the enclosed owner -builder verification'form so that"we'can`confirm you are aware of.these matters. The building permit will not be issued until the verification returned. Sincerely, DEPARTMENT OF BUILDING AND SAFETY - ._. _. Leopoldo Rojo, Jr. Director 284-2001 7/80 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER VERIFICATION Owner ' Address r An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for con- struction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the pro- posed construction: Name , Phone Address City Contractors License No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Phone Address City Contractors License No. 5. I will provide some of the work but I have contracted (hired) the fol- lowing persons to provide the work indicated: Name Address Phone Type of work gnature Property Owner cial Security Number 284-2002 7/80 Date NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199 - 9/74 CANARY—FILE, PINK—APPLI( OwnerIyCL9 Me, O Architect Contractor ` Addre--!is �s—�A+�� E I p Address_ Address - City City 0. W'v v b Z -1_�.2%City_ City— -- Phone ` 4 Phone Phone — 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 all laws of the County of Riverside and the State of California governing said property. n �y e� /� DATE SIGNATURE OF OWNER AND/OR AGENT��af Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior, to the Issuing of a Construction Permit. 1SPACE NO. G�•� r r/ 1 USE OF STRUCTURE F/ Y JOB ADDRESS �Q / �INGLE } �, - - LE A DESCRIPTION OF PROPERTY FAMILY � DUPLEX APARTMENTS AGRIC. 0 Q COMMERCIAL INDUSTRIAL '^ CG COMMUNITY A TERATIONS Z NO. OF SUBMITTED PLANS -____ USE OF PERMITus . -' u+ Q CASE NO. p Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --- Q -1 ZONE SETBACKS- FRONT SIDE REAR J M ff GRADING PERMIT REQUIRED? YES 0 NO _0 LOT SIZE SETBACK ORDINANCE # — OF FEET REQUIRED ON _ STREET DATE -. —6 ' SIGNATURE OF LAND USE OFFICIAL - DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__—. CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET H d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT'FOR DRIVEWAY .AND STREET OIMPROVEMENT? YES C3NO C1 °C DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ _ WATER POLLUTION REMARKS �n FLOOD CONTROL— z AIR POLLUTION _ DIV OF HWY c YOUR PROPERTY MAY BE SUBJECT TO .4 — d c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FL00[ 284 199 - 9/74 CANARY—FILE, PINK—APPLI( BUILDING PERMIT PERMIT NO, 1413809 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE�o� COUNTY OF RIVERSIDE t CONSTRUCTION ESTIMATE NO. - ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL P7± r ESTIMATED CONSTRUCTION SO. FT. @ It Voluotion g UNITS " SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK 50, FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ DRAINAGE PIPING 50. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ .�"�l ��� WATER PIPING NOTE: Not to be used os property tax valuation S ` S R SWIM POOL, PVT FLOOR DRAIN " MECHANICAL FEES Type SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD No. SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Unit Sp. Insp. Fee $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Supplimental Permit Numbers - LAUNDRY TRAY AIR HANDLING UNIT CFM Witness Fee g IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP M.O. �] N.C. Q, Cash Check POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY License# AMPERES SERV ENT SHOWER BOILER B.T.U. City Zip SO. FT. @ a BATH TUB SO. FT. @ a WATER HEATER SO. FT. RESID @ 1 t/aa SEWAGE DISPOSAL S0. FT. GAR @ t/<a HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES, MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 413809 lob Address Space Zip Owner - Community y It vR ��{� 1 �% y /T Voluotion g Data Dist. Off. _ F.C.C. MH Permit Fee $ Micro Film Fee Cop S Use of Permit ` (/ / ' ^•i [` I ,t ►/�//..f`.{,s,� Parcell No. f 3 Use/Case No. - Ck. By fes" Mach. Fee Dbl S PI. Ck. Fee S Set' Bucks to Size Construction Fee Dbl S �� Legall/Description JJ J �` j%( � !'� • �` '/ (' C ;/ tt �J` of �� / -..r F S ` S R Electrical Fee Dbl $ Zone Restrictions ( � A 111 s Group Type SMI Fee S Plumbing Fee Del $ fond Amt.Plan $ No. Plan Checker Final Date /= y� / _ 7 Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee g Address City Zip Witness Fee g Reinsp. Fee g Owner/Agent %� /,h�1r„p��.,pf/..rF°"/wyt s rc, Tel. /�/•� /y/ / 7Zip Total Fees S (ril Address y 71, �� lam{ / 1 %_G City Zip �(' �,CT'. �, I.N / / .'�i' j .� ^.,.✓ M.O. �] N.C. Q, Cash Check Received by fi/s�✓'�ZYQ``� Contractor Tel. License# Trees required Sewage System ` /lA t� 1f Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK 15 NOT COMMENCED WITHIN 120 DAYS. CESSATION 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. 1 EREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284208 (Rev. 1/80) p4MCE �NITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE 0F THE STATE OF CALIFORNIA.