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RPL (399525)RI111 F111sir: DCDAAIT PERMIT NO. 399525 PERMIT NO. 1399525 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE OT�/-7�'' �r��>;�,���-% FIE!p Voluoti $/` :/� `� J CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES F.C.C. NO. PLUMBING FEES Micro Film Fee Cop $ 1ST FL. 2ND. FL. FOR. GAR. CAR P. . WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS ou Mech. Fee Dbl $ v> PI. Ck. Fee $ Set Backs SQ. FT. @ YARD SPKLR SYSTEM Construction Fee Dbl $ l' SO. FT. @ MOBILEHOME SVC.. BAR SINK F S//, 5/_3 R s_ C/ SQ. FT. @ POWER OUTLET - ROOF DRAINS Zone Restrictions SQ. FT. @ DRAINAGE PIPING YP SQ. FT. DRINKING FOUNTAIN Plumbing Fee Dbl $ z Sol URINAL - Pion No. VALUATION $ / c�•:ir WATER PIPING Final Date 1 Z NOTE: Not to be used as property tax valuation SWIM POOL, PVT Lr FLOOR DRAIN Const. Lender Bronch _Zr MECHANICAL FEES SWIM POOL, COMM Address City Zip WATER SOFTENER Reinsp. Fee $ Owner/Agent i VENT SYSTEM FAN EVAP. COOL HOOD SIGN Total Fees $' WASHER (AUTO)(DISH) City - Zip Tel.<% LicenseR /// ^{Jni(s �` •n " ✓G � M.O' ❑ N.0 Q? Cash Check Recewed r. .� . APPLIANCE DRYER swage System ji•� /(J•I s,��(s Addreeiisf�J-, •, GARBAGE DISPOSAL ` FURNACE UNIT WALL FLOOR SUSPENDED 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 _ • SQ. FT. @ c WATER HEATER '•d= SO. FT. RESID @ 1 t/a¢ SEWAGE DISPOSAL_ S0. FT. GAR @ s/44 HOUSE SEWER' / GAS PIPING PERMIT FEE • PERMIT FEE ✓ PERMIT FEE,r i DBI. TOTAL FEES MOB. HM. FEE MICROFEE MECH. FEE ]ECK. F,EE %CONSTy� E ECT F/ SM FEE FEE PLUMB. r'i PERMIT NO. 399525 Job_' Space J -`�'��'" 4�� i�%�J,,r>���: / OT�/-7�'' �r��>;�,���-% Community �•r"�— Voluoti $/` :/� `� Dote •) t" C.+' "� Dist. �� Olf. F.C.C. MH Permit Fee S Micro Film Fee Cop $ Use ermit / lL r Parcel No. _f Gtr +�k Use/Case No. Ck. '✓-„J . Mech. Fee Dbl $ v> PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ l' Legal Description ,�ky; Z,9 T �� — `�•Yv C/� F S//, 5/_3 R s_ C/ r Electrical Fee Dbl $ iU i Zone Restrictions GroupType YP SMI Fee $ ? Plumbing Fee Dbl $ z Sol Bond Amt. $ Pion No. Plan Checker Final Date 1 Z Inspector Unit Sp. Insp. Fee $ Demol. Fee $ - Const. Lender Bronch Supplimental Permit Numbers C/r . t 1. Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent i Tel. Zip Total Fees $' Address �^'. ..�+�"` a.rt,�Y ry'!'�. f Contractor 1�+y '/��l�y-/:�.. / i(, -' /v G ® C/ji li" City - Zip Tel.<% LicenseR /// ^{Jni(s �` •n " ✓G � M.O' ❑ N.0 Q? Cash Check Recewed r. .� . / Treer e W sCf' swage System ji•� /(J•I s,��(s Addreeiisf�J-, •, Cit /) Zip ` T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF F WORK verified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT .TO BECOME VOID. + Sewer District T %• +4 I HEREBY AGREE THAT ALL WORK IN -CONNECTION WITH THIS PERMIT'WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE'COUNTY AND THE STATE OF CALIFORNIA. ' I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ((Lj Form 284-208 (Rev. 1/80) — ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 3WVN 133111S I/d t/d 3Nn A1H3d0Hd 10 HV38 V v6 V ~ lapid Z£ j a�puaS 1£ r sasolxy 0£ 6wpuog '96Z anM 6u pu VU /fQ 6u,J!mwM 6Z 8�uww3 a�!A.JaS 8Z pnpuoJ LZ - alod_lOrOcl - .. 9Z- - S1VA0HddV 1V7Rll7313 ; r. N0IlV701 I UIS W31SAS 30VM3S � l/6—/6 `LI lou!d sz O$ ;/ I L isal Soo PZ v a�!AAaS IaloM £Z s ,aual{oS 'aloM ZZ laloaH JaloM lZ s t 4 ja.Aas OZ (osods!Q a6omaS 61 t sivaA 81 gwnld y6no8 Ll i 6urdid J010M 9t qwnid PunorO Si S1VAOHddd ONlawnld Iou!i ill .. — (umo18) 6ull!o) )Zl (silos) 6uy!a) 8Zt 1 (silos) sIlOM VL anIOA N '1!41 NOIltl1flSNl . apoj0 gs!uy £t 99-0-11 . . IIDMAJQ tlLl '- - - 1L0 �N ��1 �/ t•�� `! �`-' ylol,lowalul ZI U ylol oua4x3 t t NOIlVWSOANI 1VN0111aad AO C7 0'1 a�oldanj vol tou!i Cv Q '1'd a5oldanj of POOH 10PJawwo) Zv lloM a,!j a6oiP0 6 a3!A04 uo!i394ad ajowS (9 s1uaA 8 ,adwoo aj!j 06 Bwwoy L awo,oal) -iddV 6£ IPQO 1008 9 jossa.dwo) BE swoa8 puog S nV uo!Isngwo) L£ stholg tno;0 p s4al4n0 8 slalul 9£ 9N �Y r{/ laalS `Ijodwo) azoownj S£ apoi0 gols tlZ spnQ g swnuald V£ 1/{j V �!/ swji 8 i61d Z •..;bA walsdg uoq0I'1uaA ££ `/" ''"{�� p thug iaS l v V 6� S1VAOIlddV 1V:)INVM;3W S1VAOaddV JNIavM t1003dSNl 31V0 NOIlVd3dO 'ON i101)3dSNl 31V4 NOI1V83dO ON 1 3 4.i O < CD COUNTY.Of RIVERSIDE '.° DEPARTMENT OF 2 -:jBUILDIN & SAFETY :j APPROVE 1t > /DA I permit for, -sKall'P6t be con of th,6,se plan's construed be r,O approval y of. Va 1 0 , a violation or r LLI the provisions of the stateZntlaws. This Set CA vf plans must be kept on the Job until completion Uj A .0 U (y - W LL,< 0. LU 0 LLI LLJ Uj z 7- 00 Fence with self -latching gate required before ~ L �Plasterfhg 'of' pool f 7 W- �5,vwacr 7o I COUNFTY 0 0 IVE4 AIPPROasl, "RIOT r, 10 V� I N Ey VA OXI I MR j to by P. 0 Ay— tans shall not any viol of 4 9 firs07 .:visions or. the state or C PAI P kept On the be E S E R To Uj Q� ' NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT ' •' ` t APPLICATION TO CONSTRUCT Permit No t DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199 -9/74 eUAIA, -y�•- CANARY — FILE, PINK — APPLICANT Owner F -77F Architect Contractor Tj ^ Addressi LirFnn/k�tfdress_ Address -P K 2-7-0 S_ City_L00 14)'1-R City_ City --L �f ,Z,,E,E;ir Phone Phone Phone 341, _1C151_9! 41 W 1 (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 withi 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 occu ie ntil I (we). have complied with all. aws of the County of Riverside and the State of California governing said property. V_ 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. AS -3I SPACE N0. 1 USE OF STRUCTURE JOB ADDRESS syr C.gINGLE FAMILY DUPLEX _ LEGAL DESCRIPTION OF PROPERTY.. — / Z t- O t` A T . -, - APARTMENTS AGRIC. —� ,44 N a COMMERCIAL E] INDUSTRIAL Ej r y COMMUNITY9ALTERATIONS C - CJ NO. OF SUBMITTED PLANS — _ USE OF PERMIT l5� 3 C In -CASE NO. Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING _ .4 ZONE ,CL -SETBACKS: FRONT '�- SIDE'T�REAR m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # __ OF FEET REQUIRED ON _ - STREET DATE SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑. NO ❑ NO_ OF FEET__—' iCURB AND GUTTER REQUIRED: YES [I NO ❑- STREET W CAN CURB 'AN D GUTTER' FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ °L DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC WSEWAGE DISPOSAL _ Z FOOD ESTABLISHMENT WATER POLLUTION REMARKS �n FLOOD CONTROL Z AIR POLLUTION 1 WIlia DIV OF HWY c YOUR MAY BE SUBJECT TO a — Y PROPERTY c ~` FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN. EVENT OF FLOOD. 284 199 -9/74 eUAIA, -y�•- CANARY — FILE, PINK — APPLICANT 'l: DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT # 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. Q 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 / /_ <' .55 License No.C'7 Date e_) Contractor�--- Q OWNER -BUILDER ECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: Q 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.). Q 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 F] WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Workers' Compensation Inssu�u.ra//nce, or a certified copy thereof (Sec. 3800, Lab. Code). Policy No. C^,[_ 25 Insurance 0 Certified copy is hereby furnished. [Z] --'Certified copy is filed with the County »ivers,ide`� Department of Building and Safety. Date4711g,) Applicant Q CERTIFICATE OF EXEMPTION FROM WORKERS'�COMPENSATILY/fNSURANCE (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 Q I hereby certify that no excavation five (5) or more feet in depth into which a person fs re - "red 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.) ® 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. Q 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 Countp of Riverside, Department of Building and Safety to,enter upon the pro- perty for which I have applied for this permit for the purpose of making inspeptions' Signature.-of,''Appl i cant/Age "t' Date Print Applicant/Agent Name - y 284-2000 7/80 BUILDING PERMIT 7 ' PERMIT NO. 39-9 525 PERMIT No. Job Add re `.' -' - - Space DEPARTMENT OF & .SAFETY Community /%'�f yI� - �.Jv�_.'�r7L �'^d - . t Valuation S/i DVj/ W • .Q Dafe /� C/? V G/ Dist. ' Off.. F.C.C. �V MH Permit Fee S .BUILDING FIELD' OFFICE arceL No. ._ 4./ Use/Coles✓Jsee No. 1,Ck. •Lot By 3 9.9 5 L 5 PI. Ck: Fee ' " S COUNTY OF RIVERSIDE •P . <. Construction Fee "Dbl $ - Legal Description - - ,��Vj .i,' G.l% � 7., •6/ r CONSTRUCTION ESTIMATE.` Electrical Fee Dbl S NO. ELECTRICAL FEES NO. PLUMBING FEE$f . 1 ST FL. SO. FT. @ $ SMI- Fee - g UNITS 0 Bond Amt. , $ Pion No. V • - ,. 2ND. FL.'. SQ. FT. @' Fm.f Dole�'l� �f �:. 7r �. X v"Ik Inspector 1.. .. s - YARD SPKLR SYSTEM Demol: Fee 1 S - •Registr. POR. SO. FT. @ ,SO. .'SuupplimVentol Permit Numbers ,� `• + -+• - - ,t .• ' MOBILEHOME SVC. BAR SINK Address city". .• - _ GAR: FT. @ •Reinsp. Fee S -POWER OUTLET ROOF DRAINS CAR P, SO. FT. @ j +. DRAINAGE .PIPING Rec ' ed - -WALL SO: FT. @. Tel, v. • r , �/,4? •�Q' ��.� �1 Ucensell • ''ti DRINKING FOUNTAIN ' swage System , j�J1. r1, /�� `f�/y�,' Address �" y-///\///,j/(•/�'}� s _ < _ City�/1 Zip 9 URINAL .., @ ESTIMATED CONSTRUCTION VALUATION •_. $ WATER PIPING rJ NOTE: Not to be used as property tax. valuation - SWIM POOL, PVT FLOOR DRAIN '. MECHANICAL FEES SWIM;: POOL,. COMM'. ' • t, 'WATER SOFTENER -. VENT SYSTEM -FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL-' FURNACE UNIT WALL FLOOR SUSPENDED ` 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 ...a SHOWER, +-• BOILER _ - 'B.T.U.-:,..SQ:c�FT., .@ BATH TUB,;• , _ • ' - �' SO. FT:,' @ a!- WATER HEATER • - S0. FT.'RESID._ @ 1 1A a, SEWAGE "DISPOSAL,: . S0. FT., GAR "@ 3/4a HOUSE SEWER . A ,. n GAS PIPING% � +. PERMIT FEE' ' PERMIT FEE + PERMIT FEE; DBL.. TOTAL FEES MOB. HM'. FEE MICRO'FEE 'tr MECH. FEE'PL GK. FE G EE: EL CONST. FECT F&6 SMI.FEE FEE ,PLUMB. FEE 3,a 7 ' PERMIT NO. 39-9 525 ', Job Add re `.' -' - - Space I Zip Owner r e , Community /%'�f yI� - �.Jv�_.'�r7L �'^d - . t Valuation S/i DVj/ W • .Q Dafe /� C/? V G/ Dist. ' Off.. F.C.C. �V MH Permit Fee S Micro,Film Fee ;Cop S`'. Use of Permit^ �o� L /3' �j .�.• s - /�/./ Iii 1� s �% si Jk ` t arceL No. ._ 4./ Use/Coles✓Jsee No. 1,Ck. •Lot By Mech. Fee. Dbl g - PI. Ck: Fee ' " S I Set Backs - - '• Size � . ' Construction Fee "Dbl $ - Legal Description - - ,��Vj .i,' G.l% � 7., •6/ r F. -. S ;/- S/ R • /' � ��%, Electrical Fee Dbl S Zone Restrict ons s Group Type SMI- Fee - g Plumbing Fee + Dbl S• Sp. Inspr Fee $ Bond Amt. , $ Pion No. V Plan Checker • Fm.f Dole�'l� �f �:. 7r �. X v"Ik Inspector 1.. .. s Unit- - Demol: Fee 1 S - •Registr. Const. Lender Branch - .'SuupplimVentol Permit Numbers ,� `• + -+• - - ,t .• ' Fee S - Mileage Fee- S `- Address city". .• - _ Witne—FeeS. .. •Reinsp. Fee S Owner/Agent - ' ^Tel. s„ . + - 'Zip Total Fees S. Address - �• `y - / 0 / City ., Zip h " M.O. Q'N.C. Cash -� Check Rec ' ed - Cont`roctor ,� ;.1 } fir. ,. L d • Tel, v. • r , �/,4? •�Q' ��.� �1 Ucensell • ''ti swage System , j�J1. r1, /�� `f�/y�,' Address �" y-///\///,j/(•/�'}� s _ < _ City�/1 Zip . T `' LL P THIS PERMIT SHALL'BECOME-VOID .IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORKT rverified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.' Y Sewer District 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. r� _ I HEREBY CERTIFY.THAT THE INDIVIDUAL V�HO PREPARED THE PLANS AND SPECIFICATIONS•H_AS'bONE SO IN + ( l�J� ACCORDANCE WITH SECTION 5541 OF THE BUSINESS,AND'PROFESSIONS CODE OF THE STATE OF CALIFORNIA.' - ',Form 284.208 Rev. 1/80) . • -