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403495 (ELEC)BUILDING PERMIT PERMIT No, DEPARTMENT OF BUILDING & SAFETY FIELD DST 4034 9 5 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Jab Address NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS ' Community 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 $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Mech. Fee Dbl $ FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER R, Electrical Fee Dbl $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED C SMI Fee $ LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER Bond Amt. $ KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM Sp. Insp. Fee $ LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT Const. Lender SHOWER BOILER B.T.U. SO. FT. @ a Supplimentol Permit Numbers BATH TUB Registr. Fee $ SO. FT. @ a Address" fir''""y.�Ci(y�..,.•'"` Zip .� WATER HEATER Reinsp. Fee 50. FT. RESID ca 1 /4a SEWAGE DISPOSAL f S0. FT. GAR Qa z/44 HOUSE SEWER r'zip ,. Total Fees - GAS PIPING PERMIT FEE PERMIT FEE .� n.. PERMIT FEE DBI. LjAL FEES ? Q MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. fyEs� CVJ SMI FEE FEE PLUMB. FEE - PERMIT NO. 4034-1 95 ' Jab Address t`\ :1 N !�A %- �, ; Space Zip - t Owner ' Community _ Valuatione $ (� A G iQ K Dist. Off. F.C.C. `s MH Permit Fee $ Micro Film Fee Cop $ Use of "ermit S sem, \.•. -r Parcel No. —�s� d Use/Case o. Ck. l Mech. Fee Dbl $ PI. Ck. Fee S,•K� Sat Backs Lot Size Construction Fee Dbl $ Legal Description f; , ^ ^, y. `\i T^[..+"C ' , V F S S R, Electrical Fee Dbl $ Zone Resti2fions J`d.. Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. F Plan Checker Final Dote ® — l ^ 66 v,J Inspector Unit f Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers .7 Registr. Fee $ Mileage Fee S Address" fir''""y.�Ci(y�..,.•'"` Zip .� Witness Fee $ Reinsp. Fee $ Ow Agent f Tel. r'zip ,. Total Fees - $ / Address 7 .� n.. gnx City Zip ' �. "•�� MIP. I0 N.C. Cosh Check `Q Received b N, Trees. required I Contractor Tel. N Lcense# Sewage System { f 4.°.JLs Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sower District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME' VOID. ' C% 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 r� Form 28A•208 (Rev. 1/80) JCE 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 Ventilaticip System ' 2 Figs 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 4'1 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA 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 (Batts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final ----__.____.P1l1MBING-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 x 29A Grounding Wire / 2 _ Z 1 400 V 29B Bonding 30 Fixtures 31 Service 32 Final U, STREET NAME V LI /11\11'1L1\1 VI -Lu 11\V Ill\V 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 i. pnovementsi specified':_...- _ 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 -protect -yourself from-possible-liability-if-that-person-appl-ies-for--the pro- per permit in his or her -name Contractors are required by law_to-be-licensed and_bonde.d.by..th.e_State_of.Cal.ifo,rnia,._and.,_where required, to have_ a business. ,l i cense .from .the .city-or_county,,They are._al so required red 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 protection. If you employ or otherwise -engage any persons other, -than your immediate family, and the work (including materials and other costs) is $200 or more for the entire."project, and,such�per.sons are not licensed as contractors or subcontractors, then you maybe 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. 6 There may be financial risks for you if you-do'not carry out these'obligations,`end these risks are especially serious with respect to -workers' compensation insurance... For more specific'information about your obligations under federal"klaw, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration),!rliFor more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.J, If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform theirwork 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'e'is 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. . ! R , 1 Informati:on.about licensed,contractors may be obtained by -contacting the"Contr..ac.tors;,State License Board in,you.r.,,pommun,ity-or;at�1.020,oN Street; Sacramento„ Cal ifor.ni_aj95814.9:T Please complete and return the enclosed owner -builder verification form so that we canconfirmthat you are aware ofathese matters. 'The building permit will not be issued until the verification is returned. Sincere1y,�,.� DEPARTMENT OF BUILDING AND SAFETY Leopoldo Rojo, Jr. Director 284-2001 7/80 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER VERIFICATION ' e 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 processing 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) ti 2. I (have/have not) s 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 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 Signature Property Owner Date 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 N� Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner , Architect —. --_ Contractor—__--_ _ Address 7���,F�ss--- Address----- -- City..6/1 City_ City--- — Phone —��6� Phone _ Phone— --_--.—_._ cc 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 0 without an encroachment permit. NOW, therefore, it is agreed that 1 (we) will not occupy said property and will not cause said property to beupied u r'lave complied with all laws of the County 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 Bel Must Be Obtained Prior to the Issuing of a Construction Per it. I SPACE NO. �� I USE OF STRUCTURE 6-7 } Z ~ (D JOB ADDRESS / aSINGLE FAMILY DUPLEX LEGAL DESCRIPTIO F PROPE TY _ Q v / �_ APARTMENTS AGRIC. a- a - —-'-- - COMMERCIAL INDUSTRIAL [] tat — ' 5:'^ COMMUNITY ALTERATIONS G G Z NO. OF SUBMITTED PLANS — USE OF PERMIT � a CASE NO. -- � l7 Z NO. OF PARKIN SPACES REQUIRED -- NO. OF BUILDINGS NOW•EXISTING Z ZONE SETBACfKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINAN E H OF FEET REQUIRED ON TREET DATE SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES O NO ❑ NO. OF FEET -- F z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ _ STREET F CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O °C DATE — SIGNATURE OF ROAD DEPT. OFFICIAL a = SWIMMING POOLS PUBLIC WSEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION — REMARKS H FLOOD CONTROL H W AIR POLLUTION W DIV OF HWY c a YOUR PROPERTY MAY BE SUBJECT TO — c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD.. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT