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399108, 413765, 427006 (SFD)BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY �991 0 $ �,, „ COUNTY OF RIVERSIDE. t� FIELD RST CONSTRUCTION ESTIMATE NO. =ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. / FOR. / ' +" GAR. - CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. .@ -Ltd $ f�r,� UNITS T• — r SQ. FT. @ YARD SPKLR. SYSTEM '?� MOBILEHOME SVC. SQ. FT. -14, BAR SINK ' 'tS POWER OUTLET 50. FT. @ _ An ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ ^ s. r• r- t% WATER PIPING NOTE: Not to be used as property tax valuation �y. w� SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD 4`s �• ���.. 5h SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER 'PI. Ck. Fee S ��•� tea. _ �� S Bac GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Construction Fee Dbl $ � Lego D scripts LAUNDRY TRAY AIR HANDLING UNIT CFM f r' IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. strictions 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. @ a BATH TUB Bond Amt.PIon S SQ. FT. @ a WATER HEATER No. D PI hec or s S0. FT. RESID @ 1 /4a SEWAGE DISPOSAL Unit S0. FT. GAR @ V4a HOUSE SEWER Const. Lender GAS PIPING PERMIT FEE Registr. Fee $ PERMIT FEE PERMIT FEE DBL. TOTAL FEESMOB. i HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 399108fr- Job Address p_ r s.� { Space Zip Owner _ Community Volumtn $ iV ff. `i• ", +•rr'�' d F.C.C. -• MH Permit Fee $ Micro Film Fee Cop S Use of Permit Parcel No. > ' Use/Cas N& 7 Ck. By ' Mech. Fee Dbl $ s S ♦_•w„ T. T��Yr�r 4`s �• ���.. 5h J,r 'PI. Ck. Fee S ��•� tea. _ �� S Bac Lot Size s "ype -• - Construction Fee Dbl $ � Lego D scripts n'- ^'� - t 1 •ZonV C, f r' S — S R Electrical Fee Dbl $ strictions Groep v SMI Fee S . Plumbing Fee Dbl $ Bond Amt.PIon S No. D PI hec or s /y� ate O - L�"O V nspector Unit Sp. Insp. Fee S Dental. Fee $ Const. Lender Branch Supplimentol Permit Numbers J Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address / i Z'- i City Zip t1 M.O' ❑ N.C. I] Cash Cls- _ Received by r •,ContraV' ..�4'1"`) -+ Tal. licenzaN 1. .�'♦ ,�` �• 1, '}(}- ,/i# .w �• / " :_ c«•2 l.y ,.� Trees required �`^-� "f •. Sewage System Address �, :� City WP ``' T LL P Sewer .District c Form 284208 (Rev. 1/80) r THIS PERMT SHALL BECOME VOID IF WORK IS NOT COMMENCED .µl HIN 120 DAYS. ?ESS A T-CIJ OF WORK 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 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. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE i INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back. y 33 Ventilation System 11 r 2 Ftgs & Frins 34, Plenums 8 Ducts ' 2A Slab Grade 35 Furnace Comport. ' I a 3 Steel 36 Inlets & Outlets ° . 4 Grout Blocks 37 Combustion Air; 5 Bond Beams 38 Compressor t 6 Roof Deck 39 Appl. Clearance l 7 Framing - 40 Fire Damper 8 Vents , r+� - - 41 Smoke Detection Device 1 9 Garage Fire Wall42 .I Commercial'Hood I F r T10�- --Fireplace P, L. 43 Final { 104 Fireplace T.O. O� ADDITIONAL_._ INFORMATION ^ t 4 ' I ! t SEWAGE SYSTEM SIZE & LOCATION - r l ' ' 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) T - 1.2B Ceiling (Batts) 12C Ceiling (Blown) 14 Final _ �P_LUMBING 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. ILie REAR OF PROPERTY LINE .4&'--j ' _ fq' w` er',Pgie: ELECTRICAL APPROVALS P/L i , ) i i P/ 27 Conduit' 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final j �;u`m nwr:}DFQMIT • PERMIT NO. - �,� O O r DEPARTMENT OF BUILDING &- SAFETY COUNTY OF RIVERSIDE 'FIELD OFFICE DST _ CONSTRUCTION ESTIMATE .PERMIT NO. 399108 NO. " ,-ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. EL. "~ FOR. -,SO.'FT. GAR. CAR P. • WALL ''• -SO.. 'ESTIMATED CONSTRUCTION SQ. FT. Pee $ UNITS } .@ SQ. FT. C� YARD SPKLR SYSTEM MOBILE HOME SVC, r •t -@ BAR'SINK - SQi FT. @ POWER OUTLET 4' ROOF DRAINS SO: FT. @ DRAINAGE PIPING FT. @ DRINKING FOUNTAIN - SQ. FT. @ URINAL VALUATION $ % WATER PIPING +. NOTE: Not'to.be used 'as •properfy tax valuation Ck. By ' SWIM POOL,'PVT FLOOR -DRAIN F MECHANICAL FEES Lot Size SWIM; POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN . WASHER ,(AUTO)(DISH) APPLIANCE DRYER Electrical Fee Obl $ GARBAGE DISPOSAL d FURNACE UNIT- •' WALL :FLOOR SUSPENDED Type' - SMI Fee S LAUNDRY TRAY AIR HANDLING UNIT ' CFM, IDLE METER KITCHEN SINK ABSORPTION'SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP' pector ^ POLE, TEMP/PERM LAVATORY ' HEATING SYSTEM KFORCED GRAVITY, Const. Lender AMPERES SERV ENT SHOWER BOILER, B.T.U. _, 5` . - SQ. FT. @ 4 BATH TUB Mileage Fee $ Address City Zip • - SQ. FT. '@ a WATER HEATER Owner/Agent - S0. FT RESID @ 1 t1Ac SEWAGE DISPOSAL. Tel. Zip . SO.'FT..GAR @ 3/4 ti HOUSE SEWER _ - +. - • ' , . • GAS PIPING PERMIT FEE M.O. C3 N.C. Cash ❑ C PERMIT FEE 'PERMIT FEE DBL.t TOTAL FEES•�„� MOB. HM. FEE MICRO FEE • MECH. FEE PL. CK. FEE� , CONST. FEE ELECT. FEE 'SMI FEE • - fEE •PLUMB. FEE '• - s• lob Address r '� ' SpaceZip Owner .PERMIT NO. 399108 , • ]. Community ., .... Voluotion Date: MH Permit Fee S Micro Film Fee .Cop S Use of Permu . - j\� /1• y Force) - No. Use/Cos Ng. - Ck. By ' Mech. 'Fe e ' Dbl S - PIrCk, Fee S _ et Bocks Lot Size F S f 5 R rlk -w Construction Fee Dbl S leg Description 11' {►-�� r• - Electrical Fee Obl $ Z6Tt' Restrictions J.Grolp - Type' - SMI Fee S Plumbing Fee • Dbl $ Bond Amt. Sj - Plan No. - Plan Checker J m ate ,nom .. V pector ^ Unit Sp. Insp. Fee $ 'Demol, Fee - $ Const. Lender Branch _, 5` . - Supplimental Permit Numbers r - ` Regatr. Fee $ Mileage Fee $ Address City Zip • - ,Witness Fee $ Reinsp. Fee Owner/Agent - - Tel. Zip . Total Fees S Address s.. s City Zip M.O. C3 N.C. Cash ❑ C Received by Contra or Jel. LicenseA , -.11 Trees required _ Sewage System Address City �p y T ll P THIS PERT SHALL BEC ME VOID IF WORK IS NOT COMMENCED MTHIIN"120`DAYS. CESSATION OF WORK verified by: � Sewer District ,"{ - . POR 120 DAYS SHALL AL CAUSE PERMIT:T.O 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. - �a4®RDANCE Y CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATI%NS HAS DONE SO IN Form 484.70&(Rev. 1/80) WITH SECTION 5541 OFTHEBUSINESS AND PROF ESSIONS:CODE OF THE STATE OF CALIFORNIA. OUILUILVV reKMII PERMIT No. DEPARTMENT OF BUILDING t& SAFETY 413 7 6 5 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTI-- TE - NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST Fl. � SQ. FT. @ � $ 2ND. FL. SQ. FT. @ POR. SQ. FT. @ 7 rl GAR. T SQ. FT. @ -� CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION Is i'r is I / r.. v a `� f , r w ? r" d `7� >:.�`t;fel U' 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 tax valuation F.C.C. SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Parcelll No. / •�/ �_m>r.� '" 'i✓� : SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD Pl. Ck. Fee S 5' SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Legal Description / �, � ' n c7 r ' .1Z w �✓ L l � l - / F ? 1 S 5 fJ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Electrical Fee Dbl S R Zone Restrictions 1 LAUNDRY TRAY AIR HANDLING UNIT CFM SMI Fee $ IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. PI hacker TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Sp. Insp. Fee S POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Regisir. Fee S AMPERES SERV ENT SHOWER BOILER B.T.U. Reinsp. Fee $ SO. FT. @ c BATH TUB Total Fees 5 7 SO. FT. @ c WATER HEATER M.O. N,£. ❑ , Cash ❑ Check Received by SO. FT. RESID @ 1144 SEWAGE DISPOSAL Licensee Tree. S0. FT. GAR @ z/ae HOUSE SEWER City Zip GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBI.TQ7Al EEE$C'�/ MOB. HM. FEE MICROFEE MECH. FEE P.l_ FEE S"r CONST. FEE ELECT. FEE t SMI FEE ---t— FEE PLUMB. FEE PERMIT NO.- 413 7 6 5 - lob Address Space ZiP S�to . 2 5 Owner v - ��, ��- Community Grp /�/ ',T Valuation S DMzzol- st. Off. F.C.C. MH Permit Fee S MicroFilm Fee Cop 5 Use of Permit1 /i/�/ CyJ/J Com, i �c6!/��G� "i�.. i /01-1 fpy✓� Parcelll No. / •�/ �_m>r.� '" 'i✓� : Use/Case No. Ckk... By �✓ Mech. Fee Del $ Pl. Ck. Fee S 5' Set Backs lot Size Y 1 Construction Fee Dbl $ Legal Description / �, � ' n c7 r ' .1Z w �✓ L l � l - / F ? 1 S 5 fJ R � Electrical Fee Dbl S R Zone Restrictions 1 Group Type r SMI Fee $ Plumbing Fee Dbl S Bond Amt. S PIon No. / 3 PI hacker Final Date • Inspector Unit Sp. Insp. Fee S Demol. Fee $ Const. Lender °i Branch Supplimentol'. Per t N mbers Regisir. Fee S Mileage Fee • $ Address City Zip �- � Witness Fee g Reinsp. Fee $ Owner/gent,s j lj —AF Tel. Zip Total Fees 5 7 !Address 1 t . / City Zip M.O. N,£. ❑ , Cash ❑ Check Received by Contractor Tel. S Licensee Tree. Sew ge System 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. 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 / Form 284.208 )Rev. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS -CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 1 2 Ftgs & Frms 34 Plenums 8Ducts f 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets t ! 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper i 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.O. °o -------- ADDITIONAL INFORMATION 1 i } i i ) f --_---..__._.__ _ ->, __-,--___-_. -- • -- I I i - 1 SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath / 12 Internal Lath 12A Drywall 13 I Finish Grade ' INSULATION Thick R Value 7A Wolfs (Botts). 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 1 REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L t i + i P/ j j I 26 Power Pole � 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final 1 STREET NAME PERMIT NO.DEPARTMENT OF BUILDING & SAFETY 4 270 0.6• COUNTY QF -RIVERSIDE Y FIELD MST � a CONSTRUCTION:}E� TI `' 'v' ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ r=" '' $ 9'�Fi4 1: a > 0-.4 - - ~ f w .w r -ar UNITS V 2ND. FL. • SQ. FT. @ MH. Permit Fee $. T'01 A A YARD SPKLR SYSTEM SQ. FT. @ f 'h ' r7 rA MOBILEHOME SVC. BAR SINK POR. r SQ. FT. @' r . �-7:", POWER OUTLET ROOF DRAINS GAR. - SQ. FT. @ '•� y .r-`. -� Construction Fee Dbl' $ DRAINAGE PIPING CAR P. SQ. FT. @ - Zone Restrictions strictionsp.R Dy�0 ypegy'a' DRINKING FOUNTAIN WALL SQ. FT. @URINAL Plumbing Fee Dbl. $ w and Amt. Plan No. . Plan ' Checker VALUATION' ' s Unit Sp,^Insp. Fee $ WATER PIPING ESTIMATED CONSTRUCTION _ NOTE: Not to be used as property tox,valuotion t •- T+: SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Suppliniental Permit Numbers SWIM POOL, COMM WATER SOFTENER VENT SYSTEM `FAN EVAP. COOL HOOD ��tya yy 0^ "" 04, f 0 6 SIGN t WASHER (AUTO)(DISH) APPLIANCE ~ . DRYER,x City - Zips i GARBAGE DISPOSAL 5 FURNACE • UNIT 'WALL FLOOR' SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT • CFM OwgeT/Ag�e+� • �' •. IDLE METER KITCHEN SINK ABSORPTION SYSTEM ' B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP TV ivy Yi POLE,TEMP/PERM h LAVATORY HEATING SYSTEM FORCED GRAVITY- 9 Address ' :- w'- AMPERES SERV'ENT SHOWER BOILER B.T.U. Check 41 w'AS {. r. :SQ. FT: @ BATH TUB Received by �Controctor ;'� '. ' SQ. FT. @ c ~ WATER HEATER ! Trees requite / 7 - SQ. FT. RESID @11/, < SEWAGE DISPOSAL It /{ Address _ -. City. Zip SQ. FT. GAR @ '3/4 c }' HOUSE SEWER P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK "'verified by: Sewer District GAS PIPING PERMIT.FEE + 121 PERMIT FEE NIX PERMIT FEE DBL. - TOTAL FEES IMOP.HM.FEE MICRO FEE —m-ig. F PL. CK. FEE •, ,- ELE . F SMI FEE FEE PLUMB. Form 284-208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF -THE -BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ; [0E M. PERMIT NO. Job Address _ r� 4 - Space .Zip Owner ^h. 4L ^/1 OO 9'�Fi4 1: a > 0-.4 - - ~ f w .w r -ar V Commuml y•+ `<� •Y.. ''. 'a. r r 1•+ y -r.. ;ty^• +g - Valuation .T<i„'-1' s'..�Yr •°•S. Date ;.,.f ;'..}}.- •DistOff. _ F.C.C. MH. Permit Fee $. T'01 A A Micro Film Fee Cop $ se of rmi .- Parte *: .., ie/Case Ck.B Mech. Fee _Lb I_ $ SS,�pt,q p� ap' TTt}�q1 '- if?.E+,►,rA!I,NG A�3l� '_�l i ������� PI.Ck. Fee $ � - `� �" S Backs Lot Size u -� Construction Fee Dbl' $ Legal• Description F S S R - t."•a ' - v Electrical Fee Dbl E - Zone Restrictions strictionsp.R Dy�0 ypegy'a' $ a +SMIFee Plumbing Fee Dbl. $ w and Amt. Plan No. . Plan ' Checker Final Date j�nl� Unit Sp,^Insp. Fee $ r$ s 'Demol. Fee $ -• Const. lender Branch - Suppliniental Permit Numbers Registr. Fee. $ • ' ��tya yy 0^ "" 04, f 0 6 Address' Mileage Fee g City - Zips i Witness Fee $ Reinsp. Fee $ OwgeT/Ag�e+� • �' •. Tel. Zip, TV ivy Yi Total Fees $ 9 Address ' :- w'- {ity . Zip - M.O.n N.C. 0 .,Cash Check 41 w'AS {. r. ;• tP Received by �Controctor ;'� '. - Tel-.- �" "- ��•�'- + • LicenseX Trees requite / 7 - Sewage System /{ Address _ -. City. Zip ' T LL :�r 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 PERMITTO BECOME VOID. 1 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 Form 284-208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF -THE -BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ; NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I Set Back �, 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums 8 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 Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. C] 43 Final IDA Fireplace T.O. ❑ No ADDITIONAL INFORMATION - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall'" 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts). 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 PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS 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 Owner Architect r� �s�G.l' 2��AJ Contractor /h O f Permit No r►. e'--'"""284.199 9/74 CANARY—FILE, PINK—APPLICAN "h . Owner Architect r� �s�G.l' 2��AJ Contractor /h O f t jW Addres '/ ���� /Address_ Address—�S��S�U/��' 4?I le) City Q City City_ _ _ �` 5 �- b Phon / ` ,`� 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. . ^ DATE �� `LTSIGNATURE 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. j I SPACE NO. P,2 USE OF STRUCTURE ���!! �y�I ��/.J❑ JOB ADDRESS i --�. SINGLE 'FAMILY [�( DUPLEX LEGAL DESCRIPTION OF PROPERTY rl Z H APARTMENTS AGRIC. f O H N -� �. INDUSTRIAL ❑ GC� .COMMERCIAL COMMUNITY'. G ' � ALTERATIONS n NO._OF SUBMITTED'PLANS -__— USE OF PERMIT Z a CASE NO. r Loll °Q N.0 OF P�IRKING SPACES REQUIRED N0. OF BUI DINGS NOW EXISTING a >/ "' y:FRONT ` 6 l !- ZONE ETBACKS� `` <V SIDE REAR to7 :GRADING. PE RMI TREQUI ( ; ;REQUIRED? YES N0�❑ LOSIZE r- a M.. Ali � t/L „z' _ 'SETBACI •N:ORDINAE # �` __— OF' 't FEET REQUIRED ON - -` STRe -r, - �•: _` __�`,f DATE % SIGN IAL 1`r A,TURE OF LAND USE OFFIC DEDICATION REQUIRED: YES NO NO. OF FEET__�__L- ❑ ❑ l W CURB AND GUTTER REQUIRED: YES ❑- • NO ❑ �� t1 ,� _STREET A # So(p - S, C CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOfj,Z- IVEWAY ND STREET CIMPROVEMENT? YES NO ❑ / °L 7? ( DATE: —� SIGNATURE OF ROAD DEPT. OFFICIA QW SEWAGE DISPOSAL G - T At _ 1 WATER POLLUTION REMARKS P FLOOD CONTROL— z AIR POLLUTION _ DIV OF HWY I.- < — YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. e'--'"""284.199 9/74 CANARY—FILE, PINK—APPLICAN "h . DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N Effective July 1, 1980, Chapter 1301, Section 19825 of the Health and Safety Code requires the execu- ti" 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 f/ull, force and effect. License Class —� . License�No. A �/ y S-- / Date �% -5� L Contractor 01 L--�.1 aif Vr— ( CJS L_e M OWNER -BUILDER DECLARATION le 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.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). M 1 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 certified copy thereof (Sec. 3800, Lab. Code). Policy No. 1-a 0-9r (v _ Insurance ------ Q Certified copy is hereby furnished. N �y Cer-tified copy is filed with the County of R'i'verside, Department of Building and Safety. -1-61- Date O l / Applicant 0 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 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 isissued (Sec. 3097. C(iv. Code). Lender's NameWl�l, �✓`7f l! !�^ - Lender's Address xl r.7,,-9,4 AA.If— 1 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 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. /lC\llfaa// Cj Division of Industrial Safety Permit No. , Date Applicant l 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 representa•tive7of the County of(Riv.erside, Department of Building and Safety to enter upon the pro- perty fore whhiehj'A have applied for this permit for the purpose of making inspections - Signature rgnature o pp icant gent v Date ' Print Applicant/Agent Name 284-2000 7/80 r APPLICAVON FOR TREE PLANTING t` I (we), the undersigned, hereby certify and acknowledge that 1 (we) have read the application and agree that if trees are required under River- side County Ordinance No. 457, the applicant agrees to install said trees prior to final inspection. It is understood that no final inspection will be given until said requirements have been met or exception has been granted by the County. Now, therefore, it is agreed that the prop- erty owner shall cause the property lines to be surveyed in the event no survey stakes can be found. Further, it is agreed that the County of Riverside shall assume. o responsibility should trees have to be removed due to lot line errors. % D Cv Owners Name Building Perm' QN`o- Mailing Address w City State ` Job Address '? C C,o/mykunit / L_ �R, Legal Description �j v Assessor's Map, Book & Page /"r�fType Structure W Type of Soil Is water available Y/1*�Coad Dept. Plot Plan No. Z 3 p Type of ex'sting trees in road right-of-wa Trees preferred by applicant (1) (2) (3) I Date Owner's Signature Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species Washingtonia filifera (Calif Jan palm)15gal . size Number _of- :trees 1 ad Spacing of trees Distance from lot lines: Front Side Wo W . Additional requirements Street tree should be 2' inside right of way and a minimum:-of40' from driveway. Date Buildirige�and Safety notified g/3/gi Signature D_M_ REQUEST FOR EXCEPTION Reason Z � - - W. LL -� w (attach additional page if necessary) mad Request for hearing: YES ❑ _ Owner's Signature (Forward application to Planning Dept. if exception requested) " NO REQUEST FOR HEARING Planning Dept. aConcur ❑ Non -concur ❑ Explanation Z o Date Signature Z Q a Road Dept. J O a Concur ❑ Non -Concur ❑ .Date Signature 'REQUEST FOR HEARING AND COMMITTEE DECISION Z Z a Date hearing established Date hearing notice mailed to owner Z J'p Approved ❑ Disapproved ❑ Dote Owner notified of decision d Date Building & Safety notified` Signature APPROVAL BY BUILDING INSPECTOR �} Final Date Inspector Building Permit No. F LLU. Address _ Community jN :Requirements for tree planting complied with Remark s (Detach and forward above information to Road Department Riverside) 284-230, REV. 1/74 -a s O