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404266 (ELEC)BUILDING PERMIT x PERMIT NO. 04266 .- DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD t OHS DST. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES . 1ST Fl. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATE U TIO SO. FT. .@ $ UNITS se/C a o. t SO. FT. @ YARD SPKLR SYSTEM PI. Ck. Fee $ SO. FT. @ MOBILE HOME SVC. BAR SINK lot Size SO. FT. @ POWER OUTLET ROOF DRAINS Construction Fee Del S SO. FT. @ DRAINAGE PIPING ' SO. FT. @ DRINKING'FOUNTAIN S T @ URINAL VALUATION $ rX WATER PIPING Zone Restrictions NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Plumbing Fee Dbl $ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Final Dofty/J/Q Inspector ,C VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Sp. Insp. Fee E APPLIANCE DRYER Const. Lender r GARBAGE DISPOSAL Supplimental Permit Numbers FURNACE UNIT WALL FLOOR SUSPENDED y, LAUNDRY TRAY Mileage Fee S AIR HANDLING UNIT CFM 16LE'M01R� �• ' KITCHEN SINK ei/Agent "1 ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Zip COMPRESSOR HP POLE, TEMP/PERM LAVATORY ~� HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER y, BOILER 4 B.T.U. SO. FT. @ a BATH TUB Tel. s SO. FT. @ a WATER HEATER Sewage System r Address - - S0. FT. RESID @ 1'/aa SEWAGE DISPOSAL Zip S0. FT. GAR @ 3/aa HOUSE SEWER - GAS PIPING PERMIT FEE PERMIT FEE J PERMIT FEE DBL.TOTAL FEES IMOB.HM.FEE - MICRO'FEE MECH. FEE PL. CK. FEE I CONST. FEE °i L FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 404266 Job Address Commu. ity - u Spaca Zip Owner r a' t OHS (� i.tC{(Ly ' MH Permit Fee S Micro Film Fee Cop b Use °f-P°iii' d ` r �'Boc t barrel No. sus se/C a o. Ck. By + Mech. Fee Dbl S PI. Ck. Fee $ lot Size • Construction Fee Del S l al n 1 / �} �_ �. r:1 ! F S S R Electrical Fee Dbl S 'rr' SMI Fee S Zone Restrictions Group Type Plumbing Fee Dbl $ Bond Amt. S Pan No. Plan ec a Final Dofty/J/Q Inspector ,C Unit '- t� Sp. Insp. Fee E Demol. Fee $ Const. Lender r Branch Supplimental Permit Numbers Regist, Fee S Mileage Fee S City Zip Witness Fee S- Reinsp. Fee S ei/Agent "1 r Tel. Zip Tocol Feas1 S Address �+ t•' ~� City /� ...✓ Zip - .O. ❑ .C. ❑ Cash ❑ hac Received Trees require Contractor Tel. s ice Sewage System r Address - - City Zip T ' LL— P THIS PERMIT, SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verilied FOR 120 DAYS: -SHALL ALSO CHOSE PERMIT TO BECOME VOID. Sewer District - ,I HEREBY AGREE THAT.ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH s THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. _ �y I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. 1/60) C ANCE'WITH SECTION 5541- THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ^ L' NO. "% '" OPERATION DATE INSPECTOR NO. OPERATION DATE INS11l=CTOR JJ BUILDING APPROVALS MECHANICAL APPROVALS I Set•'Back 33 Ventilation System ti t 2 figs & Frms - 34 Plenums & 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 Loth 12 Internal Loth 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 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 C . NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT 3 Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner Architect— —. ___—_ ContractorTTZ'A- ' � t Address_i 4�1_14wv Address_ Address ? Z-6—ove City—_ 1���/� CSC- City----- - City_-7��-���di?}}� Phone _ Phone.;!!L!5 ' o[ W I (we) the undersigned, hereby certify and acknowledge that I (weI 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 31: 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 pro er to be occupied until 1 (we) have complied with all law of tCounty of Riverside and the State of California governing said property. DATESIGNATURE 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. /� I SPACE NO. U/ C S ii USE OF STRUCTURE .� S. T �j I JOB ADDRESS '� - Q� LEG L DESCRIPTION OF PROPERTY 617- P,-/ �� SINGLE FAMILY DUPLEX Z F _ APARTMENTS AGRIC. I� Q --- � COMMERCIAL � INDUSTRIAL - j '^ 'COMMUNITY�Dl AL TIONS TIONS Z N0. OF SUBMITTED PLANS PER Q CASE NO. Z NO. OF P KING SPACES REQUIRED N0. OF BUILDINGS NOW EXISTING Q ZONE TSETBA(fKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # _— OF FEET REQUIRED ON STREET DATE ��� SIGNATURE OF LAND USE OFFICI _ F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— .•. CURB AND GUTTER REQUIRED: YES ❑, NO ❑ —STREET f- a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEMENT? YES [_1NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIA1 = SWIMMING POOLS PUBLIC F SEWAGE DISPOSAL Q FOOD ESTABLISHMENT = WATER POLLUTION REMARKS n FLOOD CONTROL H Z AIR POLLUTION Fz = t DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO d - c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY COUNTY'OF RIVERSIDE' APPLICATION CERTIFICATE PERMIT N Effective July 1, 1984, Chapter 1301 Section 19825 -of the Nealth 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: 0 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 Date, Q I hereby affirm that I License OWNER -BUILDER DECLARATION 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.). 0 Date I am exempt under Section Owner B.&P.C. for this reason: 0 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. �'I c S%y % InsuranceS7 7a f-i�SP��'1 Cve� Q Certified copy is hereby furnished. e Certified co�jy is filed with the County of-Ri°verls_ide, jDe�art ent�f Building and -Safety. Date I MI/ 7 Applicant M 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 rl 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.) 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 and state that the information given is correct. I agree to comply with all statelaws 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 f'or which have applied for this permit for the purpose of making inspections. Sighdtture of" pp 'scant gent /! Date Dint Applicant/Agent Name 284-2000 7/80 t kiu fi .t7{�~+k':,MN�AY,-„".i. .1TY 'j",:V r -K +f• 4:�1• '�'-:' ,a r w�r•',F r. r, iS � rf r � frl 1� if jl y1 /{t f; f� ,f� 'f i �Jk "4 1 Y f A f'Y ' r\ 7 �, � �• i\ J i � � �'f ) ! �� �. y:;r ! �j,� l ,�. •� Z .Y;a i ..a3.'!h` }J K..F�ir �(. t,T i,l �� Yl iryy : 1 �7�kr�t '�r Y r: r 'r, if � �:. f ^, ,^�,V +'i} �ta� � •;- �t :�f 1ii`: � t}ti r. ,LL a,, fh� ..ST � .{r,:�F �1�f. ��Art r� Kiti 3 �! c? L �. c M� w / � �i � l �D} TQ � �'� It "JtW X I. 0 1� � H � f ' ©1 S~: �S r {i) f k t 9 I Fe�ti-cat—, }. - ?. •r �. t.'1 tri - '� .i. x P� s . x(1'11 �t� . a f -- �'.�,:.. ,� Z�S X , S� .... 13 �i- .� : '• � }. (� +? ���._r.�'Gir•! 1.. _ P�, � _ �+3,5 •� �' n 1 o'x't5 �-=r-�Cl `i' a,�,:s� f `� - � � ! �: � 1 � r is i ;A ,�+ - �• � : /r'�` ' 12 (o,f J 'ice--- rhrJa 3!4- Alloi/aLde ! ed 3, a1-7 (froun`rables`�, i r a, Us 12.E 30 }s f• o I n3....;. 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