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413295, 413108 (SFD)PERMIT NO. PERMIT NO. DEPARTMENT OF BUILDING & SAFETY _5 - / 1, Z_ 104V Community \ Its � Valuation j Date Dist. Off. ff. F.C.C. oo, MH .Permit Fee FIELD DST 413 2 95 Cop S DbI S COUNTY OF RIVERSIDE Part: 7.a. 73- 6691-011 Use/Case � No. % Ck. By Pi. Ck� Fee Cc-, Set Backs CONSTRUCTION ESTIMATE Construction Fee Dlel $ :Lagol Description SC (0 NO -ELECTRICAL FEES l 0 S C1 / NO. PLUMBING FEES 1ST FL. SO. FT. @ Ole UNITS � , / roup 2ND. FL. SO. FT. @ SMI Fee Or;� YARD SPKLR SYSTEM I 2 FOR. so. FT. @ MOBILEHOME SVC. Plumbing Fee BAR SINK d Amt. GAR. W SO. FT. Pion Checker POWER OUTLET JAnspecto, ROOF DRAINS Unit CAR P. SO. FT. @ S • DRAINAGE PIPING WALL SQ. FT. @ DRINKING FOUNTAIN $ SO. FT. @ Supplimental Permit Numbers URINAL S ESTIMATED CONSTRUCTION VALUATION $ of WATER PIPING Witness Fee NOTE: Not.,.be used as property tox volucstion SWIM POOL I , PVT FLOOR DRAIN Reinip.. fee' MECHANICAL FEES Owner/Agent SWIM POOL, COMM Tel. WATER SOFTENER 4 VENT SYSTEM FAN EVAP. COOL -HOOD SIGN WASHER (AUTO)(DISH) S —APPLIANCE tRYER 7cei 7 Zip IGARBAGE DISPOSAL tc. 0 Ch Q C!ck ! FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER T ert,all JKITCHEN SINK —ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC ATER CLOSET COMPRESSOR HP POLE, TEMP/PERM' LAVATORY HEATING SYSTEM /FORCED GRAVITYMPERES 0r, SERV ENT -;SHOWER BOILER B.T.U. •SO. FT. @ a °�ATH, TUB SQ. FT. @ T WATER HEATER Y F1 RESID @ 11/44 SEWAGE DISPOSAL C s ­ FT. GAR @ 3/4 c 40 HOUSE SEWER AS PIPING PERMIT FEE PERMIT FEE PERMIT FEE 'y DBL. TOTAL FEES MOB. HM. FEE CRO*FE.E MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SM, FEE0 FEE PLUMB. FEE I'll PERMIT NO. Job Address 1 - / (7--s- Vrk PaceN__ - 15P "er - Ah m �e 4 -1:, . 413295 _5 - / 1, Z_ 104V Community \ Its � Valuation j Date Dist. Off. ff. F.C.C. oo, MH .Permit Fee $ rMicrc> Film Fee -Mech.,'Fee Cop S DbI S Use of Permit Part: 7.a. 73- 6691-011 Use/Case � No. % Ck. By Pi. Ck� Fee Cc-, Set Backs Lot, Size 30 x— _I. 0o Construction Fee Dlel $ :Lagol Description SC (0 F po1 l 0 S C1 / Electrical Fee DbI $ Ole � , / roup Type SMI Fee Or;� I Plumbing Fee Dlel S d Amt. Plan No. Pion Checker Final Date I '3 JAnspecto, Unit Sp. Insp. Fee S Derol. Fee $ Const. tender Branch Supplimental Permit Numbers .'Registr. Fee S of �Mileage Fee $Address City zip Witness Fee S Reinip.. fee' S Owner/Agent Tel. -zip 4 'Total Fees, S Address ty Zip M.O. 0 tc. 0 Ch Q C!ck ! ,Received by ContAc v Tel. T ert,all Trees required I . .Sewage',Sy stem L P jSewer Dilict Form 284208 (Re, 1/80) dd, u r City / Zip 2 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:- FOR y:-FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME. VOID. I HEREBY AGREE THAT ALL' WORK IN CONNECTION WIT.110HIS, PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS 0 IN F 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. 7,. NO. OPERATION DATE INSPECTOR r NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I Set Back / y " A, A 33 Ventilation System 2 Ftgs & Frms f2 34 Plenums & Ducts Z/1 �(— ` 2A Slab Grade _ Q /h 35 Furnace Comport. 3 Steel 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air —z 5 Bond Beams Z .meg 38 Compressor _71-4 6 Roof Deck , .. 3 Q _ , 39 Appl. Clearance 3-7411 7 Framing 7 _ //�/ 1 r -/...(J 40 Fire Damper 8 Vents -�f{ Z 41 Smoke Detection Device -3-71-91 9 Garage Fire Wall 3-z g U 42 Commercial Hood 10 Fireplace P. L. Ix Z ���, 43 Final 10A Fireplace T.O.( Z °oN ADDITIONAL INFORMATION A `- v �� G !J -----�.. _..-------- SEWAGE SYSTEM SIZE & LOCATION 11 Exterior loth Z-15-5) 12 Interpol Lath 12A Drywall Q 13 Finish Grade 3--_0 A •J INSULATION Thick R Value 7A Walls (Batts) " 11 `l -/U- - 12B Ceiling (Batts) / �r O -9 - l! 12C Ceiling (Blown) 14 Final 13-Z -ZS I ------------« ---PLUMBING APPROVALS--------------- 15 Ground Plumb 16 Water Piping 17 Rough Plumb 2 18 Vents Z_ 19 Sewage Disposal �_f1g 20 SewerZ�_g 21 Water Heater -3-044k 22 Water Softener 23 Wdter Service' 24 Gas Test ' No 25 Final _z _g Tank �y� Pit 10 k T� L. Line REAR OF PROPERTY LINE � 5 J P/L �! P/ - ELECTRICAL APPROVALS 26 Power Pole 27 r Conduit 28 Service Entrance �. 29 Wiring 29A Grounding Wire nV 29B Bonding - Z -g I 30 Fixtures 3-Z4-91 31 Service 3 Z 8 32 Final STREET NAME/v m /,P/ C W z 3 O O W IX O> - z F- W LL J Q mN 06 .6 t- � a z O z 0 J O a jy 0 z - Z ~ za aw J a x - APPLICATION FAR TREE PLANTING I (vie), the iundersigned, hereby certify and acknowledge that I (we) have read the application and agree that if trees are required under River- side County Ordinance No. 457, the applicant agrees to install sail! 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 g*.d by the County. Now, therefore, it is agreed that the prop- erty owner shall cause the property lines to be surveyed in the event rro survey stakes can be found. Further, it is agreed that the County of Riverside shall assume rrno .. re`►s onsibility should trees have to be removed due to lot line errors. 1 9) 0 / Owners Name w- Buildin Permit No. Mailing Address /?City 'y'� o �r� Zip Job Address v /6 6-65-x Community Legal Description O r ZaKSr !ZJ Assessor's Map, Book & Page Cs' '• z — '04 / — 0z 9 Type Structure O*e 14:;,, , Type of Soif Is water available—Road Dept. Plot Plan No. Type of existing trees in road ri Trees preferred by applicant (1) Date /�)_' F___ o Planning Commission Case No. ROAD DEPARTMENT APPROVAL Approved species L 14S,*)A1C17.7'1)A119 P L/� Spacing of trees Distance from lot Additional requirements,/A/5in,c R,4(Cf#L/F.FAA/)DAG/1rl 1 Number of trees_ lines: Front:3 jAl'Sir-�,c ,6G, Side Date Building and Safety notified 111S11AI Signatur.e%-�).,4.-7"a/ S/_ REQUEST FOR EXCEPTION Reason (attach additional page if necessary) Request for hearing: YES F1 Owner's Signature (Forward application to Planning Dept. if exception requested) Planning Dept. i Concur ❑ Date NO REQUEST FOR HEARING Non -concur ❑ Explanation Signature N Road Dept. 4 Concur ❑ Non -Concur ❑ Date Signature Date hearing"established Approved ❑ . .Disapproved Date Building & Safety notified . ❑■ REQUEST FOR HEARING AND COMMITTEE DECISION Date hearing notice mailed to owner 'Date Owner notified of decision Signature -Al - .` NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199-. 9/74. CANARY — FILE, PINK — APPLICANI;-") Sr G iwE` � i�J.� Owne Architec Contracto Addres O2s>TGJDC7Q Cir .%%�Ls�.df% Ciry�!/ESi%E� i4..City /.4'�. Phone .If4f' �`� — G�f� Phone 7 / GUr�'f2 '4—,^ _ Phone? W I (vie) the undersigned, hereby certifyand acknowledge that I (we) have read the application and agree that if Curb and Gutter, and Z 3 Paving, and/or Dedication of right of way is required by'the County of Riverside, the Riverside County Depa,rrt.�tm of 8uilding,'nd Safety shall not make a Final Inspection until said requirements have been met. I am also aware that no work is t 4 don within�th`e C unty' R/W O without an encroachment permit. _ NOW, therefore, it is agreed that 1 (we) will not occupy said property and^will not cause said pro e o be occyj -ed unt' I (we) ave - complied with all laws of the County of Riverside and the State of California governing said proper /� " DATE SIGNATURE OF OWNER AND/OR AGE ` Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction .Permit. SPACE NO. USE OF STRUCTURE JOB'ADDRESS SINGLE FAMILY DUPLEX Z F LEGAL DESCRIPTION F PROP RTY. ' I APARTMENTS AGRIC., r N Q 5�Fj ----6�( COMMERCIAL INDUSTRIAL '^ Z COMMUNITY'. ALTERATIONS [] NO. OF SUBMITTED PLANS: -- USEOF PERMIT / r"" a CASE N0. p Z NO. OF PARKING SPACES REQUIRED , NO. OF BUILDINGS NOW ISTING Q ZONE SETBACKS: FRONT O SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑' NO Q LOT SIZE SETBACK ORDINANCE # _— OF,`' -FEET REQUIRED ON _ STREET ' DATESIGNATURE OF LAND USE OFFICIAL 4 F DEDICATION .REQUIRED: YES ❑ NO: NO.' FEET.__ W /OF CURB AND GU7TER-REQUIREDi YES ❑NO, d4 STREET W CAN• CURB AND GUTTER FEASIBLY BE INSTALLED? YES NO ❑ ATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET HAS AN" ACCEPTABLE-;��N!O IMPROVE N ? . YES ❑ of DATE % y/ 0 SIGNATURE OF ROAD DEPT. OFFICIAL _ SWIMMING^lLLLL— W SEWAGE DISPOSAL F ZD T f c FQQD ESTABLISHMENT _ WATER POLLUTION REMARKS FLOOD CONTROL Z'. t i AIR POLLUTION. DIV OF HWY ' o a — YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES -NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199-. 9/74. CANARY — FILE, PINK — APPLICANI;-") 0 RIVERSIDE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALT Food Establishment Sewage Disposal b Trailer Park Septic Tank Gal. p Motel, Apt., Hotel I_ -- Sq. Ft. 9f Leach Line Dwelling x Seepage Pit Commercial Building Connection to Sewer Swimming Pool No on-site regenerating water softening devices may be discharged` into the individual sewage disposal system herewith approved without clearance from the Water Q•Zality Central Board, Water supply serving this installation must be from an approvc-d source, Ail sewage disposal installation must ccnfprm with requirtmcnts of current Un)I'orm PlUmbl bode: Ail cutting, grading, or filling in execs-. of f_-ur (4) feet will nullify scwage dispctal .ZPPMVBi, Approval has been obtained from the Regional Water Quality Control Board far intiail8titr+l Of the YeW' age disposal -.•,+stem. This is to certify that the Riverside County Departme Public Health appro 's far bs J or installation the Item(s) checked above. Date_ DEPARTMENT OF BUILDING -AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N Effective July 1, 1980, Chapter 1301, Section 19825•of-the NQalth 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 License No., 'SAF_'_) 1/ 4=> Date/.4 Contractor, Q OWNER -BUILDER DECLARATION 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. 1031.5;•6.&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 ® r 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. /� / Certified copy is filed with the Countyo.'f9Riverside,/IDeepa`rtment of Bu/ildi/n�g and Safety. Date %� Q Applicantl;1` 0,/�- c -V- CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if permit valuation is for $100.00 or Tess.) 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 1__.J 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 iii 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. [-1 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 for which I have applied for this permit for the purpose of making inspections. Signature of Applicant/Agent Date 7rint Applicant/Agent Name 284-2000 7/80 BUILDING PERMIT kPERMIT NO. DEPARTMENT OF BUILDING & SAFETY 13 1 0 8 COUNTY OF RIVERSIDE FIELD M11 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. FOR. W4 rA GAR. CAR P. WALL ' ESTIMATED. CONSTRUCTION SQ. FT. .@ V-3 $ D'u : I.% -J. UNITV`i "MIA - SQ. FT. @ `"` YARD SPKLR SYSTEM SO. FT. @ `. 'e!�)° " 'nJ MOBILEHOME SVC. BAR SINK SO. FT. @ 40POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ _ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION _� $ WATER PIPING NOTE: Not to be used as property tax valuation v SWIM POOL, PVT S FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN - WASHER (AUTO)(DISH) APPLIANCE DRYER (: GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR,' - SUSPENDED ! jc• 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 SO. FT. RESID @11/44 SEWAGE DISPOSAL SO. FT. GAR @ 3/aa 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. 413108 ..� lob Address • -. _�__--_-_ _._-__ - .-__.___ _.. _ Space Zip -- - - _ _ On -_ _-_ _ _ _ '. •f _._-_-.- - — Com um .- .. :;. '; dlybti - .. <. *+-. �QsA„c.. a- F.C.C. MH Permit Fee $g Micro Film Fee Cop $ Use of P ' „-f(' •. - `.: s f4tJ741 ! ( 1 xn'k.- ' Parcel No. or..' Use/Ca o. ] 'Ck. By Mech. Fee Dbl $ te l• ,- - G..t _ _ r F - S Z 9'- rictions _ et Boc $ Lot Siae R o ,• . Pl. Ck. Fee $ �„ Construction Fee Dbl 8 V Leg _ 'p n �. N�!71 ; - b - Electrical Fee Dbl $ SMI Fee Plumbing Fee Dbl $ Bo ,� ., .. Plo ' - on Final Do Inspector Unit S .9 '- • - �/ --��� Sp. Insp. Fee $ Demol. Fee S Const. Lender - ! « _ if Branc i' * Supplimen/Jttol /Permit i4/%fie Numbers • r Regisir. Fee $ Mileage Fee $ . Address City Zip f Witness Fee $ Reintp. Fee $ Owner/Agent Tel. Zip Total Feas S Address Gty Zip M: ❑ N.C. Cash Q C ec f,r -... Received by _ o .. ,7 e, ,:.M1 /; f�,. F (f, ,.1 _.. — — _ Tel. Li<ensep Trees required - ' - Sewage System - '- - Address ......-� •�• 'L/ Cit . Y Zip Z' -lie T LL P TWS PERMIJ S)7A�BEt6MT-SOID IF WORK IS NOT C0MMENCEDPWIfAII4 -f6( F)AM ' E SATIBN OF WORK verified by: Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME^:VOID. U .I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT -WILL BE DONE IN ACCORDANCE WITH r 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 SEC1ION•5541.OF THE'. BUSINESSAND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock 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. 43 Final 10A Fireplace T.0. °o ADDITIONAL INFORMATION _ SEWAGE SYSTEM SIZE & LOCATION .11 Exterior Loth . 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 128 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 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 i i STREET NAME