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403957 (RPL)BUILDING PERMIT PERMIT NO. 403957 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE 4 FIELD DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Job A�d•-dress J Ad 3 — _ v! NO. PLUMBING FEES Zip 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Valuation Dote Dist. ' SO. FT. @ YARD SPKLR SYSTEM F.C.C. SO. FT. @ MOBILEHOME SVC. BAR SINK Micro Film Fee SO. FT. @ POWER OUTLET ROOF DRAINS Use of Permit Passel � Use/Case No. Ck. B r I7r /,)j -(qo - ' Set Bock, Lot Size \ legal Description F 5 R/. .,.; IJ / %��• Zone Restrict' Group Type . ' ��e- J (� L/' ! ry !c r•_, `[ ~' ' SO. FT. @ DRAINAGE PIPING PI. Ck. Fee S SO. FT/ @ DRINKING FOUNTAIN Electrical Fee Dbl S r URINAL Plumbing Fee VALUATION WATER PIPING"t� . NOTE: Not to be used as property tax valuation SWIM POOL, PVT J`) Ins <t r -' FLOOR DRAIN '' - MECHANICAL FEES SWIM POOL, COMM S Const. Lender WATER SOFTENER VEN! SYSTEM - FAN EVAP. COOL HOOD SIGN Reghtr. Fee S Mileage Fee S WASHER (AUTO)(DISH) Witness Fee S APPLIANCE DRYER S ner nt s, GARBAGE DISPOSAL Tel. FURNACE UNIT WALL FLOOR SUSPENDED Total Fees S 070 LAUNDRY TRAY City /� �• q AIR HANDLING UNIT CFM- IDLE METER Receive ('1� KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC LicenseR WATER CLOSET Sewage Systems 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 @0 1 t/ae SEWAGE DISPOSAL S0. FT. GAR @ V44 HOUSE SEWER ' GAS PIPING PERMIT FEE PERMIT FEE t,�_� PERMIT FEE DBI. - { TCXALjyv, 0.x MOB. HM. FEE MICRO'FEE MECH. FEE 'PL. N. FEE - CONST. FEE ELECT. FFE7 SMI „E E .••' � � FEE PLUMB„sFE PERMIT NO. 403957. Job A�d•-dress J Ad 3 — _ v! Space z Zip Ownerf�'" Up ' Communi Valuation Dote Dist. I. F.C.C. MH Permit Fee $ Micro Film Fee Cop 5 Use of Permit Passel � Use/Case No. Ck. B r I7r /,)j -(qo - ' Set Bock, Lot Size \ legal Description F 5 R/. .,.; IJ / %��• Zone Restrict' Group Type . ' ��e- J (� L/' ! ry !c r•_, `[ ~' ' Mech. Fee Dbl 5 PI. Ck. Fee S Construction Fee Dbl $ :6(j Electrical Fee Dbl S r SMI Fee S %„ Plumbing Fee Dbl 5 Bond Amt.PIon g/ No. Plan Checker FYI ate // Ins <t r -' Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Branch Supplimentol Permit Numbers _ L ' Reghtr. Fee S Mileage Fee S Address City Zip ^` Witness Fee S Reinsp. Fee S ner nt s, Tel. Zip Total Fees S 070 ,.//J� �J / • .Q4 l�r�.. -9 City /� �• q ) Zip M.O. N.C. C sh Q Check Receive ('1� Contractor Tel. LicenseR Trees required Sewage Systems s Address City Zip T LL P 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. 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. REBY CERTIFY THAT THE INDIVIDl1;41 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. verired by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS ; 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms 1 - _Q —�(Jh 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. Ej 43 Final , 10A Fireplace T. 0. P' ADDITIONAL INFORMATION Z7 SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal lath 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 —SEWAGE M; -- Tank Pit L. line REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L P/ 26 Power Pole 27 Conduit I Z_ 28 Service Entrance 29 Wiring 29A Grounding Wire —/ 29B Bonding 30 Fixtures ' 31 Service 32 Final ' 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 your signature: Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay .in processJng and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for con.- struction of the proposed property improvement (yes or no) 2. I (have/have not) 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 hired the following person to coordinate, supervise, and provide the major work: Name J Phone—.------ Address hone___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 Signature•Property••Owner Social Security Number 284-2002 7/80 Date COUNTY OF RIVERSIDE OWNER -BUILDER INFORMATION Dear Property OW,ie'r:" qt !`:`_ "�-'.� ..�. ' 'r'-' An application for a -building permit has been submitted in your name listing yourself as the builder of the property mprovements� speei fi ed f,', ,- C 5to For your protection you should be aware that as owner -builder you are the respon3ible party of re- cord on such a permit. Building permits are not required to be signed by property owners unless they are personal-ly performing their own work. If -your work--is-being performed -by -someone --other than yourself, you• may -protect yourself from possible 1-iabi-l-ity- -if that--person.applies_.for---the pro- per permit in his or her name. - --- - - -- ---- ---- — - Contractors are .required by.law.to be licensed and bonded by_the_.State_of California and_, where required, to have a_business license from the city or county_ _They_are_also relj&ed 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 �protecticn, ,' }b G': `.,s -P. If you employ or otherwise -engage any -persons other than-youriimmediate family, and the work (including materials ,and other costs) is $200 or•more for the"entire.-,�projectill .snd1 such,tpersons 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`government'as-an-employer and you are subject to; several obligations including state and-federal;income tax -withholding; federal social security taxes, workers' compensation insurance, disability insurance costs, and unemploy- ment compensation contributions. There may be' financial ri'sk`s'for you if'you do 'not carryout these�obTigation;i-and=these risks are especially serious with respect to workers' compensation insurance._. For more specifi'c'info'rmation about your obligations under .fe-deral.'M aw, coni�&t the Internal Revenue Service (and, if,you wish, the. U.S. Small Business Administration);.,.tFor more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents..+ If the structuris intended nd ed for sale,'proper.ty owners who are not'lic'ensed -ontractors are allowed to perform their work,personally or through their own employees, without a licensed contractor or subcontractor, on.ly 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 -'owner• -is "pro Ji -di ng his or her own labor and material' personally. ' .Building+ permits- are not required .3to, be; si g ied -by Lproper•ty owners unless they are performing their own work personally. :-CP C, ; Ar fI' Information'about.;I:icensed•,contractors may,;be obtained by,contacting the, Crntractors-;State License Board in your; community}or, at-1020,,R.St.reet,-,Sac*ramento )CAIifornia;.9581._4.yc, .9 1 AV11L0 ;L`. _' tLr0Uli' •!jt 1t., I:e H+'AGj.'t�+v �7>._ri,:tt'r S;r Please complete and return the enclosed owner -builder verification form so that we can confirm that you arePaware,'of",these matters. The building permit will not be issued un-:il the verification is returned. ,+ ° } ; , ,ti •, i }t 47 i. a + rV(.'o ` t'C, ; 'l tOti .' H �,N, G 131,q -1)G9,- } Ud Sincere4ly, DEPARTMENT OF BUILDING AND SAFETY Leopoldo Rojo, Jr. ; Director r�" k-�, �Fb r,t rtt 284-2001 7/80 ���.t,� NOT:CE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner, t�/��/C/tj0a�v Arc�hitect —. --._ Contractor___ --- � �(9 �aXdd'dress___ Address K Addres.5-7-' 9 —---_- CitX�_&City_-- _ City - C Phone o `1' 3-3 OR- -3 V6 , P3Wne _ Phone— C W I (we) the undersigned, hereby certify and acknowledge that I e) hav 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 ''erside, the Riverside County Department of Building and Safety 3 shall not make a Final Inspection until said requirements have been 1 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 sai property an will not cause said property to I}e occupied un '1 1 (we) have complied with the. County of Riverside and the State of California g verning said property. /laws hall soof DATE _— SIGNATURE OF OWNER AND/OR AGEN -- Approval by Signature, from the Following Departments Li d Below Must Be Obtained Prior to the Issuing of a Construction Permit. PACE NO. USE OF STRUCTURE JOB ADDRESS � .�_ - SINGLE FAMILY DUPLEX 0 LEGAE RIP OF PROPERTY SZAPARTMENTS AGRIC. [� O COMMERCIAL E] INDUSTRIAL, Lj COMMUNITY ALTERATIONS ❑ Z NO. OF SUBMITTED PLANS USE OF PERMIT _ r UA N Q CASE NO. _ O 47 Z o NO. OF PARKING SPACES REQUIRED _ — NO. OF BUILDINGS NOW 5XISTING - ZON — ETBAeKS: FRONT 4 SIDE REAR Z J m _ GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON STREET DATE T� ' �� SIGNATURE OF.LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET- --W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FCR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO C3 O °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL 2 SWIMMING POOLS PUBLIC W SEWAGE DISPOSAL Q _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS vt FLOOD CONTROL H Z AIR POLLUTION � W W I H 2 DIV OF HWY I a — YOUR PROPERTY MAY BE SUBJECT TO a c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. T 284 199A 9/74 CANARY—FILE, PINK—APPLICANT