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402729 (RPL)DVILLPImp rcrcmn PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD Mh 4 0 2 7 209' COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES lob Address - Space Zip Owner Community Valuation r F.C.C. $ ��,. /• NO. PLUMBING FEES Micro Film Fee Cop S 1ST FL. 2ND. Fl. FOR. GAR. CAR P. WAIL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS PI. Ck. fee S t!% Construction Fee Dbl $ _ Legal Description lot 7 a 1 QUTAta Go 17`F3 SQ. FT. @ YARD SPKLR SYSTEM Zone Restrictions SO. FT. @ MOBILEHOME SVC. BAR SINK Type SO. FT. @ POWER OUTLET ROOF DRAINS Plumbing Fee Dbl S SO. FT. @ DRAINAGE PIPING Plan No. SO. FT. @ DRINKING FOUNTAIN Fi I Dote / n I ect r Unit /G e SO. FT. @ URINAL Dental. Fee $ VALUATION $ WATER PIPING 0 NOTE: Not to be used as property tax valuation SWIM POOL, PVT 4�f FLOOR DRAIN Reinsp. Fee $ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Address VENT SYSTEM FAN EVAP. COOL HOOD SIGN Cants /. a l tb'r�(,i`'_•/t,✓;.�t'r �'i•.+{.•gt".�y..,...-- Add r - /r P-0* 2208 WASHER (AUTO)(DISH) Licenseg - `.. S APPLIANCE DRYER 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 SO. FT. @ a WATER HEATER SO. FT. RESID @ 1 %c SEWAGE DISPOSAL S0. FT. GAR @ 3/4a HOUSE SEWER GAS PIPING c. PERMIT FEE PERMIT FEE�1n PERMIT FEE Yui DBL. TOTAL FEESM OB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE CONST. FEE CT. FEE SMI FEE FEE PL MB. FEE 1-4 "0 2 9 lob Address - Space Zip Owner Community Valuation r F.C.C. $ ��,. /• MH Permit Fee $ Micro Film Fee Cop S Use of Permit 2$X30 Swiii► ii •1390with th spa Parcel No. Use/Co " o. A7Ck. By YA A cks Lot Size F S S ..... R Mach. Fee Dbl S PI. Ck. fee S t!% Construction Fee Dbl $ _ Legal Description lot 7 a 1 QUTAta Go 17`F3 Electrical Fee Dbl $r� Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl S Bond Amt. $ Plan No. Plan CheckerZ—M Fi I Dote / n I ect r Unit /G e Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch Supplimental Permit Numbers ,- Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees Iss M.O. ❑ N.C. ❑ Cash Check Address City Zip Received by Trees required` Sewage system + Cants /. a l tb'r�(,i`'_•/t,✓;.�t'r �'i•.+{.•gt".�y..,...-- Add r - /r P-0* 2208 Tel. City Zip Licenseg - `.. S .. T LL Is 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 ^f pG THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. BY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verilied by: y NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 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 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T. 0. P' .. ____________ ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE 8t. LOCATION 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 128 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 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 ZONE , - REAR YARD _ LOT , AREA, , l _ - -DATE I�ECO20ED r�-`— r - LOADING b .r) ----____FRONT YAF D f �S %.d� !_M` CC.,, )_DATE eD. APPROVE I LAND USE DIVISIO�4 -- 3 1A, f I .........- . kt(lg i- LU)bow to TFR )+urs FF (�W)AAj. Qu i 10 R OM N EY POOLS P. 0. BOX 2208 - PALM DESERT, CA 341689 NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT ,f', APPLICATION TO CONSTRUCT Permit N DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Owner Architect___--____ Contractor_-"-_- r.t Address 41., `' /X09ress--- --- Address - City j ! d r Al City------ - - City --- Phone Phone --. _ _ Phone. _ WI (we) the undersigned, hereby certify and acknowledge that 1 (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 occupied,/until I (we) have 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 Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. I USE OF STRUCTURE m 1 JOB ADDRESS / t If1/! -I; i --- - SINGLE FAMILY, DUPLEXEl } LEGAL DESCRIPTION OF PROPERTY ___I_ - - APARTMENTS AGRIC. D C H H COMMERCIAL INDUSTRIAL LE COMMUNITY ALTERATS C� �z N0. OF SUBMITTED PLANS --_-_ USE OF PERMITLa H Q CASE NO. p Z NO. OF PARKING SPACES REQUIRED __ NO. OF BUILDINGS NOW EXISTING Q , ZONE tETBACKS: FRONT <.. SIDE ." REAR J m GRADING PERMIT REQUIRED? YES ;] NO 0 LOT SIZE SETBACK ORDINANCE # __- OF FEET REQUIRED ON _ _-____-.._ STREET DATE ___. SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET ~ LuCURB AND GUTTER REQUIRED: YES ❑ NO ❑ _ -_STREET H d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ u1 C HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET C C IMPROVEMENT? YES ❑ NO ❑ °L DATE __ _ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC J ILW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ _ WATER POLLUTION _ REMARKS - �n FLOOD CONTROL z AIR POLLUTION W DI V OF HWY o — _ YOUR PROPERTY MAY BE SUBJECT TO d c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY -FILE, PINK -APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N 4L/a;;_F7,� Effective July 1, 1980, Chapter 1301, Section 19825 of the Health 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. 01__�_ 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,— `,; ?j License No. -5Z 0.537 Date Q/A0 Contractor_xA aa7c,a ,��� t, Q r 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.). Q 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. 6 41 Insurance 0 Certified copy is hereby furnished. " ,Certified copy is filed with the County of Riverside, Department of Building andySafety. Date �'.'� la li Applicant 0 ` 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 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 in 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.) [] 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. /^ 0 Divisi`on of Industrial Safety Permit No. Date �!�/Rr) Applicant '%Ji7i>`✓i1a��,l.r_,./,/ 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- perty for which I have applied for this permit for the purpose of making inspections. Signature of"Applicant/Agent Date , 1 G/// Print Applicant/Agent Name 284-2000 7/80 PERMIT NO,, - 402729 - DEPARTMENT, OF. BUILDING. & SAFETY FIELD OFFICE DST COUNTY OF RIVERSIDE " Il / I CONSTRUCTION ESTIMATE- NO.•., 'ELECTRICAL FEES NO. PLUMBING,FEES- . _ - 1ST FL. 2ND. Fl. ' .SO. FOR. GAR: CAR P. WALL • � ' ESTIMATE D'CONSTRUCTION SO. FT. @ - $ UNITS a - h FT. YARD SPKLR SYSTEM - .. r ` �SO. FT. @ MOBILEHOME SVC. BAR SINK POWER OUTLET i ROOF DRAINS SO. FT, @ " SO. FT. @ _ + .DRAINAGE PIPING 2 9 r _ SO. FT. DRINKING &OUNTAIN � @ � � � ' SO..FT• @: URINAL ' VALUATION $ • WATER PIPING - D 'NOTE: Not to be used as property tax valuation - SWIM POOL, PVT �_� • FLOOR DRAIN MECHANICAL FEESSWIM POOL, COMM, WATER SOFTENER Ck. By -. I lot Size VENT SYSTEM FAN ' EVAP. COOL HOOD • is SIGN Construction Fee Dbl S WASHER (AUTO)(DISH) Electrical -Fee APPLIANCE. DRYER 'yy aa 9- ,iQ4 GARBAGE ,DISPOSAL FURNACE UNIT WALL FLOOR i SUSPENDED Group LAUNDRY TRAY Type AIR HANDLING UNIT r CFM '' IDLE METER' - j KITCHEN SINK y ABSORPTION SYSTEM B.T.U. - TEMP USE PERMIT SVC , WATER CLOSET COMPRESSOR HP ., POLE, TEMP/PERM Plumbing -Fee LAVATORY HEATING SYSTEM" FORCED' GRAVITY-' AMPERES'SERV ENT `PIonNo' - SHOWER • • BOILER - B.T.U. $O. FT. @ a BATH TUB Sp. Insp. Fee S DemoL Fee y SO. FT. @, a WATER HEATER Branch S0. FT. RESID @ 1 1A a' SEWAGE DISPOSAL Regisir. Fee g Mileage Fee, S SO. FT. GAR @ 144 Witness Fee I g HOUSE SEWER g Owner/Agerif - GAS PIPING 1-4 ITO— PERMIT FEE - c- PERMIT. FEE O PERMIT FEE lop DBL. TOTAL FEES 7,7.. MOB. HM. FEE - MICRO: MECH. FEE PL. CK. FEE , o *CONST. FEE • T. FEE Shy oa / SMI FEE �, T% MB FEE#2, PERMIT NO. Job Address. � . _ - .. ..... ..... .•_._:. .. _.. SpoFeZip - .Owner- . _. owner' .. ,. -.-... •. ... ... _.. - _.-, - h .. r ` " 4 0 2 7 2 9 Community ja Cent Z') "' Va,uatian S " / �� G�% ,tiff. MH Permit Fee' S. • Micro Film Fee Cop S - Use of Permit r 25X-30 *w ra peal w0h .spa Parcel No. - Use/Ca - cks F 0 S 5 R Ck. By -. I lot Size Mach. Fee Dbl g PI. Ck. Fee ,S�._ Construction Fee Dbl S Legal Desgiption c y - - Electrical -Fee DblS 'yy aa 9- ,iQ4 + MQ"e -1& Y,.i Ione Restrictions. Group Type SMI Fee g+ y Plumbing -Fee Dbl $ Bond Amt: S - `PIonNo' - Plan Checker • • Final Dole ^y�CPJ� / ( s o tJ Inspector Unit Sp. Insp. Fee S DemoL Fee y S Const Lender Branch SupPlimental Permit Numbers Regisir. Fee g Mileage Fee, S Address ., 'City . , Zip + Witness Fee I g Reinsp. Fee g Owner/Agerif - .Tel... Zip Total Fees S Address City Zip M.O. Q N. �' Cash Check Received by Contrai Tel.' License# ' Trees required Ad'_r City Zip - Sewage System ,� P.O. Box r r Palm n^o&,P+ T LL v P THIS PERMIT SHALL BECOME VOID'IF WORK IS NOT COMMENCED WITHIN 120 DAYS.. CESSATION OF WORK 'Sewer DistrictFOR 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. ' BY CERTIFY THAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. •1/80) _ WCC-ORDANCE WITH SECTION'5541' OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: