403956 (BLCK)BUILDING PERMIT
PERMIT No, DEPARTMENT OF BUILDING & SAFETY FIELD DST
0
3956 COUNTY OF RIVERSIDE I
.a �I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT..@ $
UNITS
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
2ND. FL. SO. FT. @
Zip
YARD SPKLR SYSTEM
.POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
A RDANCE WITH SECTION 5541 OF THE BUSINESS -AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
DRAINAGE PIPING
WALL SO. FT. @
DRINKING FOUNTAIN
SO. FT. @
rmit Fee §
URINAL
ESTIMATED CONSTRUCTION VALUATION $
s �/
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)
APPLIANCE DRYER
uction Fee Dbl E
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.
SO. FT. @ a
BATH TUB
to
SO. FT. @ a
WATER HEATER
Inspec
S0. FT. RESID @ 1 t/aC
SEWAGE DISPOSAL
S0. FT. GAR @ a/44
HOUSE SEWER
Const. Lender
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL.
TOTAL FEESMOB.
HM. FEE
MICRO'FEE
MECH. FEE PL. CK. FEE
CONST. FEE. ELECT. FEE
SMI FEE
FEE PLUMB. FEE
Total Fees §
Add refs
7
City
Zip
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M.O. ❑ N.C. CX ash 0 C lij_
Received by
Trees required . -
ontroctor'
Tel.
ry
' PERMIT NO.
403956
Job Address
'—---
Sewer District
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<i
FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
Space
Zip
Owner
Com ni
-p
.�
Ir
Valu _
§
A RDANCE WITH SECTION 5541 OF THE BUSINESS -AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
rl.
F.C.C. Y
,
rmit Fee §
Film Fee Cap §
Use of Permit
.•�_
/�s^• i
s �/
Parcel No.
s
Use/Co
N
Ck. By
Fee Dbl §
. Fee $
Bac
lm Size
uction Fee Dbl E
Lege /De tription
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-',(,�•„
F S S
R
cal Fee Dbl § si
MFee
Zone Restrictions
Group
Type
e $
ing Fee Dbl. §
§
PlaitN
i G
to
cker
Final Date C/
�l �. �(
Inspec
Unit
-
sp. Fee §
. Fee §
Const. Lender
Branch
1-52
Supplimental Permit Numbers
Tel.
zip—,
r. Fee §
Mileage Fee §
Address City Zip
Witness Fee §
Reinsp. Fee§
wne7/• en v e_,. -
Total Fees §
Add refs
7
City
Zip
t
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M.O. ❑ N.C. CX ash 0 C lij_
Received by
Trees required . -
ontroctor'
Tel.
license
Sewage System
Address
-
City
Zip
T LL _y.Pr
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK
Sewer District
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.
-
1 HERBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN
Form 484-408 (Rev. 1/80).
A RDANCE WITH SECTION 5541 OF THE BUSINESS -AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.
verified by: 4
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs B Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grovt Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing/,
"T „
C /
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 Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Valve
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final �'�- . 91/
-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 builder
of the property imp'rovements_kspeci,fied't- e+ pWr+-,
For your protection you should be aware that as owner -builder you are the responsible party of re-
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•protectyourself from possible liability if -that pErson applies for•the pro-
per permit in his or,her name.
Contractors are required bylaw to be licensed and.bonded.by the.State-of_California and,_where
required, to have.a business license from.the ci.ty.or county. They •are also required by law to put
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 subcontract,
you should be aware of the following information 'for your benefit and 'p'rotection.." `_= rot t+
If you employ or;otherwise engage an 'persons other `than'your•mmediate family, and the work
(including materials and other costs is $200 o"r more -for the :enti'ne-flproject',':and1suchf°persons are
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 gov`einment as" an employer and
you are subject tovseveral obligations including state and federalrincome tax -withholding; -federal
social security taxes, workers' compensation insurance, disability insurance costs, and unemploy-
ment compensation contributions..
There may be* financial risks for you 1. if you -do not carryout these °obl`igations;-and-thesIe'risks are
especially serious with respect to workers' compensation insurance.__
' t t
For more specific'information about your obl.igations.under federal•'�law, cDntact the Internal Revenue
Service (and, if:you wish, the U.S. Small Business Administration)::;''For Wore specific -information
about your obligations under state law, contact the Department of Benefit Payments and the Division
of Industrial Accidents: C;,
!-.: ._ r: .^•` t -- . r, ,n, l+1 l,•'� y "'.l.r1s . 7i rJ'6 i1 +.Q'
If the structure is intended for sale`,'proper.ty owners who are not"licensed contractors are allowed
to perform their work.personally,or.through their own employees, without a licensed contractor or
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'owne'r� s -providing his or her own
labor and material personally. Building permits are not required"to;be.signed-by.,property owners
unless they are performing their own work personally.
Information'about:li.censed-contractors may.be obtained by contacting, the�Contr..acto,rs .,State License
Board :i;nJ,your,1 community.^ or, atg1-020. N, Street, tSacramento,, CalJfornia,958.1t.fc, 3.
!s i !• G ' :,..•1�. �'
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Please complete and return the enclosed owner -builder Jerification'form Eo that we can confirm that
you areaware•of<thes:e matters. The building permit will not be issued until the verification is
returned.
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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
An•"owner-builder" building permit has been applied for in your name and bearing
;z •your;; si gnature,
Please complete and return this information in the envelope provided at your f `
earliest opportunity to avoid unnecessary delay in process:i.ng-and issuing your
building permit. No building permit will be issued until th.is,verification.is L
received.
1. I personally plan to provide the major labor and materials for con:
struction of the proposed property improvement (yes,or'no) y=
2. I (have/have not),1/4/A4Xz_ 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'hlred' the "followi"ng '
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
C :. � . i• �� t- . r �:, t i• l'` rte, ; `� � , t �. ,. �_ •
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S-ig-ndtu-re}Property•.Owner Date
Fri_ t = _. n s _ �:�;( . j � . :. �„ .. . : �- . ,. .. ' r . _. .'s• .. •, '
Social Security Number
284-2002 7/80
NOTICE: THIS IS NOT A BUILDING PERMIT
APPLICATION TO CONSTRUCT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF RIVERSIDE _
DISTRICT
Permit
a;
284 199A 9/74 CANARY—FILE, PINK—APPLICANT
Owner(:%�N6L2�r L Architect —. _ Contractor---.. .—
Addres K 6�%` 9.!05 /Address Address----- --
Ci City_— City___ —
.
"Iz 21L ----..-
Phones-&5_'-_i�' 333170 ne _ Phone—
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1 (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and
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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 Countv of Riverside and the State of California governing said property.
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.
(SPACE NO.
I USE OF STRUCTURE
JOB ADDRESS M atke
1- SINGLE FAMILY DUPLEX
L`�C�10 FPRO ER YL�,�
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APARTMENTS AGRIC.El
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lam/--- COMMERCIAL INDUSTRIAL • " LJ
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COMMUNITY C_ rl
TIONS l J
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NO. OF SUBMITTED PLANS USE OF PERMIT
Uj a
CASE NO.
C- =
NO. OF PARKING SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING
Z
ZONE SETBACKS: FRONT SIDE REAR
J Co
GRADING PERMIT REQUIRED? YES ] NO ❑ LOT SIZE
SETBACKK/ORDINANOF FEET REQUIRED ON STREET
DATE -- SIGNATURE OF LAND USE OFFICIA --
DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET—
H
W
CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET
i
H
�
a
CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑
HAS.'AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR 'DRIVEWAY AND STREET
Q
IMPROVEMENT? YES ❑ NO ❑
O
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DATE SIGNATURE OF ROAD DEPT. OFFICIAI
Z
SWIMMING POOLS PUBLIC
H
W
SEWAGE DISPOSAL
Q
_
FOOD ESTABLISHMENT
WATER POLLUTION REMARKS
vt FLOOD CONTROL
H
W AIR POLLUTION
_ DIV OF HWY
H
c cc YOUR PROPERTY ;,IAY BE SUBJECT TO
—
a
c FLOOD. RIVERSIDE COUNTY ASSUMES
NO RESPONSIBILITY IN EVENT OF FLOOD.
284 199A 9/74 CANARY—FILE, PINK—APPLICANT