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403895 (ELEC)BUILDING PERMIT PER+AIT NO- DEPARTMENT OF BUILDING t& SAFETY FIELD Dsr 1403895 COUNTY OF RIVERSIDE � CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND FL. POR GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT, @ SQ, FT. @ SO. FT, @ 50. FT. 50. FT. @ SQ. FT. @ SQ. FT. [a7 VALUATION $ _ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL 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 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED i - j �- 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. @ c BATH TUB SQ, FT. @ c WATER HEATER S0. FT. RESID @ 1'/4c SEWAGE DISPOSAL SO. FT- GAR @ 3/4c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MOB. HM. FEE MICRO FEE MECH FEE PL CK FEE I CONST FEE ELECT FEE SMI FEE FEE PLUMB FEE PERMIT Np Job Addr/is Space Zip Owner ~ Commonly / _ Y'j' Volsrotlon S:%' _- Date it EJFst Off. F C.0 MH Permit Fee S Micro Film Fee Cop S Usn el Permit _ .1 -• ... .� _ rf - _ Parcel No llse.�Ctas� No. Ck. By Mach Fee Dbl S PI. Ck. Fee S Set Backs Lot Size Construction Fee Db S Leal Descro i tn g p i ti.-z... r�e� ,� ', •, / F S SR Electrical Fee Dbl S 41.. Zone Restrictions Group — I 11 Type SMI Fee S Plumbing Fee Dbl S Bond Amt. Plan No, 5 Plan Checker Finol Date / / n / Z ^ Inspector _ f --�k Unit T Sp. Insp Fee S Demol Fee S Const Lender Branch Suppllmnnlol Permit Numbers f Regior. Fee S Mileage Fee 5 Address City Zip Witness Fee S Reinsp. Fee S Owner/Agent j Tel, ZAP Total Fees S L'� Addrest •) f �i city Z,P M.O ❑ N.C. Q Cash Check Received by Contractor ._ c,�G.� �.' L •- - Tel, — - License# Trees nsqulvid / .-/ w Sewage System Address Giy 21P r 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- f I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. 1/80) DANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA, verilied b! NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & 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 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 Value 7A Walls (Batts) 12B Ceiling (Batts) 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 PSL P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring ! — I Z~ 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final v • STREET NAME BUILDING PERMIT , PERMIT'NO.' DEPARTMENT OF BUILDING & SAFETY COUNTYOFFICE - ..DST. r 403855 COUNTY OF RIVERSIDE -CONSTRUCTION ESTIMATE 'NO. ELECTRICAL FEES Job Address 70/ r NO. ,PLUMBING FEES IST FL.' 2ND. FL. POR. • GAR._ Y CAR P. WALL ESTIMATED CONSTRUCTION SO.. FT. @ $ ' UNITS Community s'T/.��//1 p+1Q 4,fj- S..�i lP{,/ ! T �+ - ` SO. FT. @ YARD SPKLR SYSTEM Dote /D ��,('�.. SO. FT. @ MOBILEHOME SVC.- BAR SINK OFF. SO. FT. @ - .POWER OUTLET ROOF DRAINS MH Permit Fee' S SO. FT. @' } DRAINAGE PIPING .� - SQ. FT. @ r + + • '. DRINKING FOUNTAIN 1 � SO. FT. @ URINAL Use/Case No.-Ck. �1 � 7 VALUATION .$ •• - WATER PIPING ..yam' Mech. Fee � Dbl 5 NOTE: Not to be used os property tax valuation SWIM POOL, PVT Lot Size FLOOR DRAIN • .6 MECHANICAL FEES- SWIM POOL, COMM F WATER SOFTENER. Electrical Fee Dist. S VENT SYSTEM FAN EVAP. COOL - HOOD SIGN - Type - WASHER (AUTO)(DISH) + ` APPLIANCE DRYER Dbl $ Bond Amt. S ' •. GARBAGE DISPOSAL "Plan Checker ,. _ FURNACE UNIT WALL FLOOR c. SUSPENDED Fi•ol Date - /-//� U �r D ! • LAUNDRY .TRAY AIR HANDLING UNIT a CFM IDLE METER $ KITCHEN SINK ' ABSORPTION SYSTEM B.T.U. ,TEMP,USE PERMIT SVC - Registr. Fee St WATER CLOSET Address , City Zip COMPRESSOR HP POLE, TEMP/PERM S LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT t SHOWER ' BOILER B.T.U. SO. FT. @ a BATH TUB' Zip-'-- ' s f `SO. FT. @ a WATER HEATER _ t • - • S0. FT. RESID @ 1 t/aa SEWAGE DISPOSAL Sewope System • • _ - S0. FT.'GAR @ 3/ea . HOUSE SEWER ' r GAS PIPING - PERMIT FEE ' .. - t PERMIT FEE PERMIT FEE DBL. [�TOTA,I FESS MOB. HM. FEE MICRO FEE .MECH: FEE Pl. CK. FEE CONST. FEE ELECT. FEE SMI FEE ', FEE PLUMB. FEE • ,PERMIT NO. 4.03895 s Job Address 70/ r Space .Zip Owner - Community s'T/.��//1 p+1Q 4,fj- S..�i lP{,/ ! T �+ - V luatfioCril �J SV/ (.i%. �_• Dote /D ��,('�.. Dist / OFF. F.C.C. MH Permit Fee' S Micro Film Fee ` Cop S. Use of Permit ", - •, �' < c✓ i,—, /T'(.z:.c�..fi/ �, � (% •, 13. � � ,4• 1 � Parcel No. — _ C) �, (/, Use/Case No.-Ck. �1 � 7 By ..yam' Mech. Fee � Dbl 5 PI' Ck. Fee.: S - Set Backs Lot Size „ Construction Fee , Dbl S Legal Description �•„-„(��. (��^jG�' e C~S% F S 5 R Electrical Fee Dist. S Zone Restrictions Group Type SMI Fee S- Plumbing Fee Dbl $ Bond Amt. S ' •. Plan No. "Plan Checker ,. _ Fi•ol Date - /-//� U �r _ Sp, Insp. Fee S. Demol.•Fee $ Const. Lender Branch. Supplimentol Permit Numbers - -• s r ' i Registr. Fee St Mileage Fee L S t Address , City Zip Witness Fee S. _ Reinsp. Fee S Owner/Agent Tel. - - - Zip' Total Fees S Add - I City • - - ' Zip-'-- ' s M.O. N.0 Cash Q Chtscrjo• Received by Contract �� (',i • r� A'I ; �••` ,�'• Cs t • - Tel. r - - a •+•.-�s a. •e• Ucensell Trees requi d /, Sewope System Address . City '. Zip, , / r T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 3 verified by: . Sewer District 4 FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.' - _ 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IWACCORDANCE WITH / L THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.. ` •� �: f� % I HEREBY CERTIFY -THAT THE INDIVIDUAL WHO PREPARED THE -PLANS AND SPECIFICATIONS HAS DONE SO�119 - Form 284.208 (Rev. I/80) j RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS, CODE OF THE STATE OF CALIFORNIA. f NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT / V Permit No 284 199A 9/74 10 CANARY—FILE, PINK—APPLICANT Owner Architect— __ __-_ Contractor ��—�dress___ Address ��Address—— v1x)7� ' City—�/Q City_-- Citv_a��'"` ✓� _ Phone- Phone _ Phone— ?�✓�_J�Z —..—__ oC 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 O without an encroachment permit. NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said prop y to a oc ed it I ve complied wizhi laws of the County of Riverside and the State of California governing said propert dr 2_0 ��� DATE SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Listed Below 7 Must Be Obtained Prior to the Issuing of a Construction Permit. 9 Z 2 53 I SPACE NO. p �O ( J �N i USE OF STRUCTURE JOB ADDRESS—_ V_7 O - Z'c% SINGLE FAMILY DUPLEX Z W LEGAL D SCRIPTION OF PROPERTY _—� - APARTMENTS AGRIC. �] SS L���f^'rn GoCF� t S� /L9 0 Q -- -O --- COMMERCIAL INDUSTRIALIL COMMUNITY ALTERATIONS n c Z NO. OF SUBMITTED PLANS - USE OF PERMIT Lu y CASE N0.L�l�`� Z NO. OF P KIN SPACES REQUIRED _— — NO. OF BUILDINGS NOW EXISTING Q 0 ZONE ETBA(fKS: FRONT SIDE REAR J m — GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # -- OF FEET REQUIRED ON STREET 60 DATE SIGNATURE OF LAND USE OFFICIAL_ - t- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___ t W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET 1 a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ O ce DATE SIGNATURE OF ROAD DEPT. OFFICIAL Z SWIMMING POOLS PUBLIC J W SEWAGE DISPOSAL 2 FOOD ESTABLISHMENT WATER POLLUTION REMARKS &n FLOOD CONTROL t - Z AIR POLLUTION tu I = F DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO a UA FLOOD. RIVERSIDE COUNTY ASSUMES .q NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 10 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE APPLICATION CERTIFICATE PERMIT # Effective July 1, 1980, Chapter 1301, Section 19825,of the Heilth 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 Licese No. 2 % Z Z Date /� - a — $ O Contractor C, ✓✓i 5 " l -e & X /1 (.ew Q OWNER -BUILDER DECLARATION I hereby affirm that I amexempt from the Contractor's License Law for the following reasons: [� 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;'8.&P.C.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.&P.C.). [:I I am exempt under Section Date Owner B.&P.C. for this reason: [] WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Worker�s' Compensation In/ / Insurance, or a certified copy thereof'(Sec. 3800, Lab, Code). l/ Policy No. l lY .;5LI/ZO Insmrance Certified copy is hereby furnished. 5;I' Certified copy is filed with the County 1Aof/ Riverside, Department of Building -and Safety. Date I -IS 'q / Applicant IIIJI G -., 1 S E (-c C - � I ) A r M CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ��Ao, LV (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 i6 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. [] Division of Industrial Safety Permit No. Date _ Applicant - CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY I certify I have read this application a comply with all state laws and county or representative-of"the Co'u ft of rvers perty for wliic A have b pli r this / Signature of Applicant/Agent yam• s ,� L >srint App7icant/ gent Name 284-2000 7/80 to that the information given is correct. I agree to e!r relating to building construction, and authorize a artment of Building and Safety to enter upon the pro - for the purpose of making inspections. r Date -e (.