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413432 (BLCK)BUILDING PERMIT —� PERMIT NO. PERMIT No. 13 4.3 2 Job A dress — '— - DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD DST CONSTRUCTION ESTIMATE 413432 NO. ELECTRICAL FEES NO. PLUMBING FEES 74 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL —. ESTIMATED CONSTRUCTION SO. FT. .@ $ UNITS SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ', ROOF DRAINS SO. FT. @ DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ 7✓ WATER PIPING NOTE: Not to be used as property tax valuation Construction Fee Del $ SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES S SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN ,� WASHER (AUTO)(DISH) APPLIANCE DRYER Type I GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED No. Plan Checker LAUNDRY TRAY AIR HANDLING UNIT CFM Inspector IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Demol. Fee S TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP mb s t POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Address City Zip ' AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ a BATH TUB ' Zip SO. FT. @ a WATER HEATER City S0. FT. RESID @ 1 t/.a SEWAGE DISPOSAL M.O. C]N.C. ❑ Cash h k S0. FT. GAR @ 3/4a HOUSE SEWER Received^ Contractor.,e"-% f/ 1' GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES �,v MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE ao SMI FEE FEE PLUMB. FEE —� PERMIT NO. -� Job A dress — '— - - - Space Zips Owner ' 413432 �' unity I rS ,F.C.C. MH Permit Fee $ Micro Film Fee Cop S Us / Pa a o. _ ei c /C ea o. Ck. By, _ Lot Size Mech. Fee Dbl $ PI. Ck. Fee $ Construction Fee Del $ al ^e to 92951 S S R Electrical Fee Obi $ VL Zone Restrictions Group Type SMI Fee S Plumbing Fee Del S'I. No. Plan Checker Fin a Inspector Unit Sp. Insp. Fee Demol. Fee S Const. Lender Branch Supplimentol Permit mb s t Regisir. Fee $ Mileoge Fee S Address City Zip ' Witness Fee $ Reinsp. Fee S Owner/Agent Tel. Zip Total Fees S Address City Zip M.O. C]N.C. ❑ Cash h k Received^ Contractor.,e"-% f/ 1' ' Tel. Licensee 1�•i Trees required t yam, / ,P� _.r�'"'"�� " �.,:;_ ,�,/ 1r.• � / , • Sewage System "•Address! ._ '•. ._.._'- ; W, •�'''- City .. ' /� ._. Zip ,. G^^'..., �'• ��`^+ I LL P tno r nnai antro —.- a ..v ,. 1 . .— .... — —­ , , — ........ .c arvr. Sower 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 c THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. . I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN t Form 284208 (Rev. 1/80) ! (((��� ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.6f „ t. ' NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS - 1 Set Back 33 Ventilation System 2 Ftgs 8 FrmsJ- 2 �j JJ 34 Plenums 8 Ducts , ID 2A Slab Grade 35 Furnace Comport. 3 Steel 9 —l• 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. 43 Final 1 10A Fireplace T.O. °o ADDITIONAL INFORMATION _ . _- _- - ---= - ---- .. __ _ f SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) Z, ------->=w-------.PLUNl�hlG.ARP ROVALS:_.. - -.- - - - - 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 P/L P/ r ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME " �, i 1: �..)'', 4 -k. ..( t � .,e L , � SI � , .1 r 1• 1w � ••�'� ° t � f i .yn t , 'r x ,(f l 11 [t t ,,T` ♦ U ^ �`; A-� y SIJi�VEYING ICO., INCL Poo I. s• ! i r t !f 1 " 1 73-400 HIGHWAY 111 PALM DESERT, CALIFORNIA 92260 y IIt' - ��•; + PRESIDENT 1 2 �, ' -- r TELEPHONE. 4 JERRY-DENNINGTON ,. r .(714)346-0335 REG. CIVIL ENGINEER �•+..• • �'• •• VICE PRESIDENT_ •�.•�, _ _ .,,. f CONSULTANT + JOHN A.ALFORD Imo'""' - .LEO L. STRECKER' REG. CIVIL ENGINEER LIC. .-.--!.�•r•%:•L- .--�...• L'.-'!�."-..,..,.. LIC. LAND SURVEYOR =/+� .f� ..s -�_�-.a•8....�•. W..l, t��� .....:7P.-{d./.._F---.`..1.Wfx1'..SO'r.J ... ,... •rF .�.-•.'mai.. �.....i-S. • � /+ Il- • 1 r 77777:F—r/7 f �• tL r ` D ,� m w `4t Gm0 } -t �ro3p. MO ♦ mn3 ,° f oo '�tt--Zr,.< , � � ,.•�.�.." 1 _..,'i"'Y �. �1i � a. ' %. � �••�.- � : t "'� ti'! y�th v til •. 7 ���: � � i� - • ', � � .•'�'�- mom t � ''• ® �� r.Yd'f.:^•'."' .!.T�.�I.O.I tlll �N•7O �i � '1a' . � ,�•� `�`� . ia 0. / �� y I is f < t ': ii} I • �+ - { . _1�.�.`f..f..�r-�'.:'�''.-�... ��� ..��A't+.,.1 ,..,,_.._. �., � r �.� 1 r,. r', 1•. ,1 t1{yr 1., - -�—�•� 111! / {' 1 -• 't� t+. 3 --ice i 010r / soy �= 1 jF DE j.T _ .. 43' ' So CALIF i krr Ift f'il. ' � r {, I ••I 31 it',���[� ,t .t y .{ r CIVIL ENGINEERING LAND SURVEYING PARCEL MAPS SUBDIVISIONS - MASTER PLANNING 1� 1 r MEMBER: COACHELLA VALLEY CIVIL ENGINEERS'AND LAND SURVEYO RSASSOCIATION NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE l DISTRICT Permit No 284 J99 9/74 CANARY—FILE, PINK—APPLICANT Owner GENE Architect �'�,�� �^� Contractor Addres �1� s �T�� �ry�`��c Addres Addressz7�«'�i'� /QE. city .Ql/vT G�� CitY/��EyjOl%�TA���l Phone 0—�� 7fo Phone��� ->>Q� " �� �f Y� 7 . 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 Buil in and Safety 3 O shall not make a Final Inspection, until said requirements have been met. , I am also aware that no work is to o e wi in th County R/W without an encroachment permit.. - NOW, therefore, it is agreed that 1 (we) will not occupy said property and will not+cause said prop y t e ccupied ntii I (w ) have -complied with all laws of the County of Riverside and the State of California governing said property 4� �� DATESIGNATURE 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. a,�45� I USE OF STRUCTURE r JOB ADDRESS , SINGLE FAMILY- DUPLEX. _ Q t- LEGAL DESCRIPTION OF PROPERTY; 3-� ��� - APARTMENTS AGRIC. Z O` �/� .� ` COMMERCIAL Q INDUSTRIAL ' j `n COMMUNITY - r ALTERATIONS [� NO..OF SUBMITTEDPLANS_USE OF PERMIT _ CASE N0. (- 7 p .Z NO. OF RKING S ACES REQUIRED NO. OF BUILDINGS NOW EXISTING - Q 0 _ ZON SETBACKS:. FRONT SIDE REAR m. jV GRADING 'PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE- SETBACK_ORDINANCE a -- OF - FEET REQUIRED ON !' STREET DATE V. SIGNATURE OF LAND USE 0F.ICIAjL - " s F DEDICATION REQUIRED: YES ❑ NO ❑. NO. OF FEET--- z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ - —STREET H m d CAN, CURB, AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ ME HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET C IMPROVEMENT? YES E3NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL `2 S SWIMMING POOLS PUBLIC 4 Q,W SEWAGE DISPOSAL/ --7, _ FOOD,ESTABLISHMENT _ WATER POLLUTION REMARKS �► FLOOD CONTROL— z AIR POLLUTION = g DIV OF,HWY I` o a — YOUR PROPERTY MAY BE SUBJECT TO FLOOD.,- R.IVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 J99 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY'OF RIVERSIDE PERMIT # Effective July1, 1980, Chapter 1301 Section 19825,of the Neilth 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 ,f - 1License No.;, 71A? Date % 9 Contractor [� OWNER -BUILDS DE CLARATIPN I hereby affirm that I am exempt from the Contractor's Licensse Law for the following reasons: [3 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 certified copy thereof'(Sec. 3800, Lab. Code). Policy No. Insurance Q Certified copy is hereby furnished. !� Certified copy is filed with the Cou ty of Riverside, DDeepvrtment o Building and Safety. Date _/,% �%�—�(J Applicant,g /), �T— N• /f i2J�F��� 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 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 iri 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 appl,i�cation and state that the information given is correct. I agree to comply with a1+1 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- 'per,ty`'for" whi-ch I have,applied for this permit for the purpose of making inspections. ianature of DD scant/ gent �' / / / 'Da'te Print App n cant 284-2000 7/80 .. PERMIT NOi 4.3432 PERMIT NO. 1413432 r DEPARTMENT OF BUILDING `& SAFETY COUNTY -OF RIVERSIDE FIEID OFFICE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES • IST FL. 2ND. FL, POR. GAR. CAR P' l WALL J ESTIMATED CONSTRUCTION SQ. FT. .@ $ UNITS $ • SO. FT. @ YARD SPKLR SYSTEM SQ. FT. @ - MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ • DRAINAGE PIPING SQ. FT. ' @ - J DRINKING FOUNTAIN ' SO. 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) s APPLIANCE DRYER Group Type 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. @ a , BATH TUB • SO. FT:- @ a WATERHEATER ` S0. FT. RESID @ 1 /aa SEWAGE DISPOSAL ' SO. FT. GAR @ 3/4a HOUSE SEWER ` Tel. GAS PIPING PERMIT FEE Total Fees ". $ PERMIT FEE PERMIT FEE DBL. TOTAL FEESMOB._HM+FEE dr City MICRO "FEE MECH.'FEE PL. CK. FEE CONST. FEE ELECT. FEE p0 SMIFEEFEE PLUMB. FEE .. PERMIT NOi 4.3432 - lob Address r Space 2ip Owner _ THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. ' s I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAN- IJ THE PLANS AND SPECIFICATIONS HAS DONE SO IN "SECTION -- m umry[Vblum—..n—-/7 $ F.C.C. MH Permit Fee $ Micro Film Fee Cop S Us of r / 2f7O'7 Parcel No. 01- et Bock se/Ca a o. Ck. By Lot Size - - Mech. Fee Dbl S' PI. Ck. Fee $ Construction Fee' Dbl $ legal escnption- S R ' Electrical Fee Dbl g JC (,/ �-. • �,% Zone Restrictions Group Type SMI, Fee $ Plumbing Fee Dbl $ nd mt. P13No. -tf Plan Checker Fi.61eMe X�+ Inspector Unit Sp. Insp. Fee g Dental. Fee S Const. Lender ' Branch c Supplimentol Permit Numbers - Registr. Fee g Mileage Fee $ Address City .•Zip Witness Fee - g Reinsp. Fee g Owner/Agent - _ Tel. Zip. Total Fees ". $ Address City Zip' M.O. Ej N,C.❑ ..Cash h ck Receive y Contractor ` Tel. « Licensed' Trees required Sewage System „ a,.y� Addreu'— is - ,%'� � t _ Ci y '° i c- 2ip - � "*• "T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK - `v`erifled'Fiy: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. Sewer District s" F ,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. ' s I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAN- IJ THE PLANS AND SPECIFICATIONS HAS DONE SO IN "SECTION ACCORDANCE WITH 5541 OF THE BUSINESS ANP PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev. 1/80)