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417912 (SPIN)PERMIT NDEPARTMENT OF BUILDING A SAFETY 41o. IT O. COUNTY OF RIVERSIDE FLEW DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. SQ. FT. @ UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS , SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ SQ. FT. @ @ ESTIMATED CONSTRUCTION VALUATION $ J 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 E 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. SQ. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER Se Backs F S SQ. FT. RESID @1'hc SEWAGE DISPOSAL SQ. FT. GAR @ 1%c HOUSE SEWER Legal Description Electrical Fee Dbl $1j Zone Restri 'ons GAS PIPING PERMIT FEE F Type PERMIT FEE PERMIT FEE DBL.,;%toTAL FEES O a i MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FE¢ PLUMB. FEE / 6// PERMIT NO. Job Address Space Zip Owner 4179 121 e 4 J Community Valuation � E Date i Dist. Off. F.C.C. MH.Permit Fee E Micro Film FeeCop § Use of Pe/mit - f 1 e4l" , 'I -Z i?55 %c -1i& Parcel No. juse/Zose No. . By Mech. Fee Dbl E •,J r Se Backs F S S lot Size R Pl. Ck. Fee $ Construction Fee Dbl § Legal Description Electrical Fee Dbl $1j Zone Restri 'ons Group Type SMI Fee $ Plumbing Fee Dal $ Bond mt. $ an No. Plan Checker Final Date Inspector /lid Unit Sp. Insp. Fee $ Demdl. Fee E Const. Lender Branch Supplimental Permit Numbers / Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee - $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ v Address / ,�, City Zip M.O. 0 N.C. Cash ' Check Received by N Co Tor Tel. LicanseY Trees requ re Sewage System Address City Zip �.we T LL P Sewer District , Form 284-208 (Rev.8/78) (E)s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 1 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 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. FIN ADDITIONAL INFORMATION - - - ---- — SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 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 PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring f 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS. NOT A BUILDING PERMIT APPLICATION.TO CONSTRUCT - DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT '1 Permit No 284 199 9/74 CANARY—FILE, PINK—APPLICANT OwnerZ� tW d9Architect Contractor S��Lf s Ct4ij$i`r Address /dJ G/ `� f` JL�/ s(� ress Address GCJ G+/rl 7"!-9 1�714—*Zr � CiIyGA city City Phone 7 �� Phone Phone e'465-- '7 ee'465-- 7, K 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 ty o be occupied until I (we4 have complied with laws the County Riverside all of of and the State of California governing said propert / / DATE L� Z `A SIGNATURE OF OWNER AND/OR AGE t Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. USE OF STRUCTURE �f ) t-��i//C 5�� > JOB ADDRESS �i'� SINGLE FAMILY DUPLEX C LEGAL DESCRIPTION OF PROPERTY�_ �lJ �� r�� / 5- - } a .� r - APARTMENTS AGRIC. El �o /F� j B, Q �� COMMERCIAL INDUSTRIAL CJ j in COMMUNITY A ra Z ALTERATIONS ❑ OFPERMIT/ul NO. OF SUBMITTED PLANS E JU aCASE NO.J:.�-t.` ... p Z NO. OF PARKING SPACES REQUIRED — NO. OF BUILDINGS NOW EXISTING _ a ZONE %> SETBACKS: FRONT SIDE REAR J as GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACKK OjRDyNANCE OF FEET REQUIRED ON"---, STREq-T, DATE �`� 'J / SIGNATURE OF LAND USE OFFICIAL-. H DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___ zCURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ G HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET C C IMPROVEMENT? YES ElNO ❑ °L DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL SWIMMING POOLS PUBLIC H WSEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS �n FLOOD CONTROL— z AIR POLLUTION 1z" DIV OF HWY o a — YOUR PROPERTY MAY BE SUBJECT TO IL o 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 COUNT -Y' -OF RIVERSIDE PERMIT # Effective July -1, 1980, Chapter 1301 Section 19825of the"h"I th and Safety Code requires the execu- tion of the following applicable deciarations.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 /jiPBusiness-and Professions Code and my license is in full force and effect. License Class , 1,,11d; License No. Date G// 2 /j/ Contractor 0 OWNER -BUILDER DECLARATION I hereby -affirm that I am.exempt from the Contractor's License Law for the following reasons: Q 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 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 r (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. i Date' �/ �� Applicant ��'}��— .��1_/C:�f/s'3✓ 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 Q 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.) Q 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 certi•fy 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✓ha" applredifor this permit for the purpose of making inspections. Sign tune%f Applicant/Agent Date el, Print r nt Applicant/ gent Name 284-2000 7/80 :. _. r ... . Ln...A � .w!..L1...i rled- S,r w_:fC.w• '-1.. � ' - /.�--, i. { + Re�r3:re Yte foU,ovis tg zooms iz _ accardsnce the Iat ionai Eiectt;6aT Code 'tW8 Li Robin, Kitcha try �,eta_aad Bexdr�oom :lumber 3 2+. Plumbing; w...v.,..,p.,,.,.y.�... - ....w:iwr.w�}wq.Tw.:�� •. ....w, _ -.,..... .n. _.,„...,. , .� H,Rggras.• .a.. 'h°`=C"^"'�'� { S-ck---WB+s.t:v!,•. �- -qtr- •.. r tv . eg ace 'tbe-. d ;peat, icftchOn sink , tie, gai'�a a Pt? k .a.tiJj Feria RtarF�a„°E*a S RemiivQ _ d replace 'Aff. ;�_ hooded .the � duct work f a�the _°£oii0�ng ` rooms :.,. . "Li-iing Woo, w 3. FOOAi;,�4$`the k .tch@g.�i t --A ��rLW V y p •Y �7 7 Y1' Sii �1t r tl t`. RyL, , `)" 1. -.. a� '' !�-*�"aw�?. ,�5 �a< a •'_ ,.�,•;,' + ...s;.`f. � `,� ? ♦ �.f<�4k .rcc�.,.•'rt"X t _ y •tttit a, ,r.� - _ . �� : �i<a.tRelace�ar repair 'the xfve kS') 8ur�t\tu4aasea:'� `; ... .. t + 1r: � a. w..a ...��rt�.u.,. -.t. a Nl 'it5 t �,o�•�'I�:.+.$ +ir-'astvi �'id y-}�r ,..'gin •{' .. .. • cj'�t;ryF�"� e?.s tk '� � 's' g r•}. t .. .. t, . �` Regie �atid roplace'-headers and g]l€ 66 door sn the" �d xzg root: x a , c: i2e ve void a ce hi cider e d e►isido iu' the l vat$$aggz . AW—, RMove acid s tkace kit Ien � E?�LtdE?43. � r` .. K� �. �� %.`wll,G{�(atXrGy,•� 7:t•r + '. � v } �+ v r. .r g4.Parr.ia , - `'.� � \.,. e T+tiBe oveaand rept c roof shesthinera ,,.-needed:. ,y Ceroof tile -as iWditd s g�`•., i�eace Proat 5�oore+�ne'isftci�en cabinets. "" `2. ' X3emove ezad r a e 'd" the 103.10 �Y r _ Y� ep2 c }dry�raYl i a root Living room„ K3Yt'cheaLry vt t*, If"�I Q' r anW B _draom n�ibes l 6 �F._ .L 5. All rr Ed;jl xi g l are to De- treated for . smoke odi ,r. ' ' ,; # Obtain';'ap�a permS:te' for v6; to� be :dose:. •t r w k� TO: SUBJECT REFERENCE REQUEST FOR CERTIFICATION County of Riverside Local governing authority Request for certification of acceptability of property under applicable local building code(s). Location of dwelling: Community: _ A x 4�lCA I hereby request an inspection of the above located dwelling for a determination of the following, as well as a Certification of Acceptability (or Nonacceptability as the situation warrants): ❑ 1. Compliance with local building code(s) applicable to the existing dwelling. ❑ 2. Compliance with applicable local code(s) on room addition. ❑ 3. Compliance with applicable local code(s) on garage conversion. ❑ 4. Compliance with applicable local code(s) on sewage disposal system. W 5. Compliance with applicable local codels) on other special construction. (describe) Special Fi" Dosage Signed: StjjeS R'tesv rt +F4 031 (Owner/Agent) —e a MM -7 -Mar -IT. - S 284-49 8176 Zip: 9251 CERTIFICATE OF ACCEPTABILITY/NONACCEP'(ABILITY Owner: ate ilnsp coon Location of Dwelling: I Permit No. ..,,. Community: La Qatnte I certify that as a part of my official duties as building inspector, I have on the date indicated, inspected the above located dwelling as requested, and have noted the following violationls) of the applicable building code(s): ❑ None. There is no violation of the applicable building code(s). Reinspection/ The following nonacceptable conditions exist: New Permit Required ❑ Sanitary inadequacy: Structural hazard: Hazardous wiring: Hazardous plumbirig: ❑ Faulty weather protection: ❑ Fire hazard: Faulty materials of construction: Additional details are noted on reverse side of this form. Remarks: (OM) ❑ Conforms to other applicable ordinances. ❑ 1 further certify that a record is available indicating proper completion: (Building Permit No.) (Completion Date) ❑ The building permit completion record is not available. Records indicate age of this structure has led to destruction of the completion record. ❑ There is no record available of the construction involved. However, the construction appears to meet code. Signed:' y= P01MM (Typed or Printed Name of Building Inspector) INM County of Riverside Apr i984 City Date of Certificate PERMIT NO. 41791 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE �S9 I COUNTY OF RIVERSIDE it CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. •, PLUMBING FEES $ UNITS Space I ST FL. SQ. FT. @ Owner •F.C.C. 2ND. FL. SQ. FT. @ Com unity YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK FOR. SQ. FT. @ Dist. Off. POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ Use of P mit �,.•-, CAR P. SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ Mech. Fee Dbl $ DRINKING FOUNTAIN Construction Fee D61 E legal Description URINAL SQ. FT. @ Electrical Fee - Dbl $ . Zone Restrt ' ns lv ESTIMATED CONSTRUCTION VALUATION $ Type 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 Unit ' GARBAGE DISPOSAL FURNACE UNZ WALL FLOOR SUSPENDED $ LAUNDRY TRAY AIR HANDLING IT 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 Tel. SQ. FT. @ c WATER HEATER Total Fees SQ. FT. RESID @ 11/4 c , -.* SEWAGE DISPOSAL Address SQ. FT. GAR @ : c r HOUSE SEWER Cit GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE 11 DBL. TOTAL FEES MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE Address IMOB.HM.FEEI Y Cit Zip M/�eI/nf we, /"j Y I ft_G/'q 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. - 1 . (jl I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITI j 00,�RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev.B/78) ©s WITH SECTION..5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: Job Address 0 Space Zip Owner •F.C.C. PERMIT NO. 4179 1 Com unity � Valuation $ Date Dist. Off. MH.Permit Fee E " Micro Film Fee Cop E Use of P mit �,.•-, Parcel No. Use/Case No. •- Set Backs Lot Size 5 S R - Ck. By 7-7- Mech. Fee Dbl $ Pl. Ck. Fee $ Construction Fee D61 E legal Description 7 i� / F t<{.... Electrical Fee - Dbl $ . Zone Restrt ' ns lv Group Type SMI Fee• $ .Plumbing Fee Dbl $ Bond mt. $ Pan No. Plan Checker Final Dae L1, • 8 I Ins c r �Rh Unit ' 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. Sip Total Fees $ _ ,®.rte Address , . ^- Cit M.O. .C. Cash Checks Received b y Trees require Co r r ' (//�J�� Tel. �` �`-,,,J Li�cenrse# Sewage System Address �,. Y Cit Zip M/�eI/nf we, /"j Y 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. - 1 . (jl I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITI j 00,�RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA.RTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev.B/78) ©s WITH SECTION..5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: