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426831 (AR){tIYILU11 v rCKMII PERMIT NO. 1426831"° PERMIT NO. 426831 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE Valuation $ FIELD F,)W CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Micro Film Fee NO. PLUMBING FEES IST FL.SQ. 2ND. FL. POR. 3 gQ " CAR P. WALL al & 'ESTIMATED CONSTRUCTION FT. ; UNITS 46 Parcel No. Use/Case No. SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ FT @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ s VALUATION URINAL WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Group FLOOR DRAIN MECHANICAL,FEES SWIM POOL, COMM Dbl E WATER SOFTENER VENT SYSTEM .FAN EVAP. COOL HOOD SIGN Plan Checker WASHER (AUTO)(DISH) APPLIANCE DRYER Inspector GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Sp. Insp. Fee $ DemoL Fee LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC Regisir. Fee $ WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM Reinsp. Fee LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT - SHOWER BOILER B.T.U. SQ. FT. @ C BATH TUB $ C.,hn ChecR47Received SQ. FT. @' C WATER HEATER City / SQ. FT. RESID @1 /.0 Zip SEWAGE DISPOSAL SC. FT. GAR @ 3/4 C .�' G HOUSE SEWER Tel. LicenseN GAS PIPING PERMIT FEE ` PERMIT FEEAlso— PERMIT FEE DBL. TOTAL FEES ,.�X MOB. HM. FEE - MICRO FEE MECH. FEE 45L. CK. FEE CONST. FEE EMT. FEE AV SMI FEE 3, "1 FEE PLUMB. FEE PERMIT NO. 1426831"° Job Address .t„ Community , )44 j Valuation $ Space Zip Owner Date Dist. of MY T�tl6-a /jF.C.C. l MH.Permit Fee E Micro Film Fee Cop $ Use of .Pe it W eld 4- il;;'4f' �,�.�y 9`� e £�4 e')1* 4111' Parcel No. Use/Case No. Gk. By Mech. Fee Dbl $ PI. Ck. Fee $ 4< 44 Set Backs Lot Size Construction Fee Electrical Fee SMI Fee Dbl E Dbl E $ r Legal Description � � �...� ,.tt,/ F S S R Zone Rest' ns Group Type Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Data Inspector Unit Sp. Insp. Fee $ DemoL Fee $ Const. Lender Branch Supplimental OKI Permit Numbers Regisir. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent - Tel. Q Zip Total Fees M.O. ❑ . N.C..Ej $ C.,hn ChecR47Received -Address City Zip by. byt Trees req ue Contractor t* .�' G Tel. LicenseN Sewage System Address r ..« City zgc , Zip ` LL v THIS PERMIT SHALL BECOMeVOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION Of WORK verified by: Sewer District t/f FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. l ((J I HEREBY AGREE THAT ALL WORK IN @JNNECfION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH 1 THE LAWS OF RIVERSIDE COUNTY A14DTFI2- STATE Or -CALIFORNIA. 1 HEREBY CERTIFY THAT THE INDI (DUAL WHO PkcPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev.8/78) @s ACCORDANCE WITH SECTION -5.541 OIF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR 4 NO. ti OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back / 33 Ventilation System 2 Ftgs & Frms 34 Plenums & 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 -2 ( 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. E] 43 Final IDA Fireplace T. 0. oo ADDITIONAL INFORMATION / SSL w —7 CN ^ z e3 d eS- O tV W a�� Al7 % YZ i SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath _ 12 Internal Loth 12A Drywall _V 49- 13 Finish Grade _ INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS T15 Gr and 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 PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures �� i 31 Service 32 Final STREET NAME ry PERMIT NO DEPARTMENT OF BUILDING & SAFETY DST 426831' COUNTY OF RIVERSIDE FIELD OFFICE # CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Space NO. PLUMBING FEES IST FL. 2ND. FL. }POR. S GlNta� CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. ,�.w $ UNITS Valuation $ SQ. FL •@ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ '9 POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ 5L WATER PIPING ' NOTE: Not to be used as property tax valuation Set Backs SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Legal Description�Y I®� r f, }� SWIM POOL, COMM S WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN ns Group Inspector WASHER (AUTO)(DISH) APPLIANCE DRYER SMI Fee $ Plumbing Fee Dbl E Bond Amt. $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Sp. Insp. Fee $ Dental. Fee $ LAUNDRY TRAY AIR HANDLING UNIT CFM Permit Numbers ' IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Address City Zip TEMP USE PERMIT SVC Reinsp. Fee WATER CLOSET COMPRESSOR HP Tel. POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Total Fees AMPERES SERV ENT Address r - SHOWER BOILER B.T.U. SQ. FT. @ c M.O. N. Cash Check BATH TUB - Contractor"r^4• +" s' �a.� % SQ. FT. @ c . WATER HEATER ' SQ. FT. RESID @1'hc SEWAGE DISPOSAL City SQ. FT. GAR @ '/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE ISO- PERMIT PERMIT FEE DBL. TOTAL FEES 1MOB.HM.FEEj MICRO FEE MECH, FEE L. CK. FEE .. CONST. FEE ELECT. FEEE�/ ����l SM FEE fPL.Ml . FEE PERMIT NO. ^/142-683 Job/Address Space Zip Owner Community Valuation $ � Date l Dist.//Fgg.C�t.yC.. I, (J �y MH.Permit Fee E Micro Film Fee Cop $ Use of Per 't Parcel No. Use/Gose No. Ck. By Mech. Fee DbI E PI. Ck. Fee $ Set Backs Lot Size Construction Fee Electrical Fee Dbl E Dbl E Legal Description�Y I®� r f, }� F S S R Zone Restr' Final Date Ab ns Group Inspector TYPe Unit SMI Fee $ Plumbing Fee Dbl E Bond Amt. $ Plan No. Plan Checker Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch Supplimental Permit Numbers ' Regisir. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. y. Zip Total Fees Is Address r - City Zip M.O. N. Cash Check Received by Trees requved - Contractor"r^4• +" s' �a.� % Tel. . ', LicenseY Sewage System Address City Zip T U. P Sewer District ' Form 284-208 (Rev.8/78) ©s THIS PERMIT SHALL BECOWVOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION Of WORK verified by: 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. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN 4 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. DEPARTMENT OF BUILDING'AND SAFETY APPLICATION CERTIFICATE COUNTY' -OF RIVERSIDE PERMIT N Effective July -1, 1980, Chapter 1301 Section 19825,of the liealth 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 IJ 1 iLicense.No Date Contractor Q OWNER -BUILDER DECLARATION I hereby affirm that I am -exempt 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;'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 �] 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 0 Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant [� 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' (� (`� % l 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.) f [� As owner -builder, I will not employ anyone to do work which would require a permit f;romothe, Division of Industrial Safety, as noted above,unless such person has a permit to do suchiwork' 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 and state that the information given is correct. I agree to comply with all 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- pe`-ty,for which I�hav�e'ap�p.11ed for this permit for the purpose of making inspections. Signature of Applicant/Agent Date print Applicant/ gent Name 284-2000 7/80 • NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE i DISTRICT Permit 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner I Rl - &S Prchitect S - _. Contractor_1?5% _fflW__.Sbr) Addres.78 - /_�0 Sp�1ir/ Add, ��•ry� —/w Addr'eesss �J�—/_-,/ /�Z / C t�'^3_� ct—/µ� Cit�N` Cit Cit A+ F_ iw Iry A e Y Y {V�a�l-� 7. Y - —C Phone — Phone!3" 17710 _ Ph W 1 (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 property to be occu ied until I (we) have complied with all laws of he 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 Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO, 1' USE OF STRUCTURE JOB ADDRESS ii �- SINGLE FAMILY DUPLEX LEG DESCRI�PTI OF PR9PERTY�Q Z F}- O - APARTMENTS AGRIC. u./C N Q COMMERCIAL INDUSTRIAL n COMMUNITY LTERATIONS C O Z NO. OF SUBMITTED PLANS — USE OF PERMIT UA< CASE NO. f!�T_ �r - Z NO. OF P RKING SPACES REQUIRED .— NO. OF BUILDINGS NOW XISTING - Z ZONE SETBACKS: FRONT SIDE D REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON STREET DATE' �X SIGNATURE OF LAND USE OFFICIAL --:- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__ W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET of a 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_ 2 SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS FLOOD CONTROL— H z AIR POLLUTION W DIV OF HWY c cc YOUR PROPERTY MAY BE SUBJECT TO — Q. c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. r 284 199A 9/74 CANARY—FILE, PINK—APPLICANT