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418091 (RER)
PERMIT NO. I DEPARTMENT OF BUILDING & SAFETY . DST 4180911 COUNTY OF RIVERSIDE FIELD/�. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING..FEES IST FL. SQ. FT. @ UNITS PERMIT NO. ` 2ND. FL. i POR. SQ. FT. @ r YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK ` GAR. CAR P. WALL SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ URINAL WATER PIPING NOTE: Not to be used os propehyiox'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 SMI Fee $ 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 m HP POLE,TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB Witness Fee ' ' $ SQ. FT. @ c WATER HEATER S0. FT. RESID @1'/4c SEWAGE DISPOSAL Zip S0. FT. GAR @ '/, c HOUSE SEWER - $ 4 A{ddr s / c- /r � � L� •a `(r rJ' / ' s GAS PIPING PERMIT FEE Trees required F PERMIT FEE PERMIT FEE DBL. TOTAL F S% e� MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE , CONST..UD ELECT. FEE a S I F tM,L. FEE PLUMB. FEE T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: +$ewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r' I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH + RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. � ell, 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284•208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ....... ,... .:A . A. - - -> - -L: -:—;-, ._..+ 1, q,. •. '.r r:... ,. &J... -r-. .. r+_ io•:: . �». .__ - . �%.+- :vv, r`. r ..ria r._. _ � sws`.. Job Address v Space Zip Ow er PERMIT NO. ` Community , ,F- / "x., .4 /i ��' Valuation $ �r.�C'" "'i � Dote C7F.C.C. Dist. I Off. 1,,,2—, MH.Peimii Fee $ Micro.Film Fee .Cop $ Use of Permit *y ; -.w ,.,,, '"` Parcel No. 7e, —J----3)- — (,3 "L' Use/Case No. Ck. By l_ Mech. Fee Dbl $ PI. Ck.'Fee $ Set Backs lot Size ` Construction Fee Dbl $ t/,/ f� Legal Description / F c (�„� e-1`«*. lC�' J v G. S S R Electrical Fee Dbl s Zone Restrictions / Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Dot��e Insp for 'vertu 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 l Tel. Zip Total Fees - $ 4 A{ddr s / c- /r � � L� •a `(r rJ' / ' s City Zip ' Tel. '^�'`� Licenssee# /�}/�'� . /% �i Com✓ '^i`.. �^ �" / / �� / (P C - ' M.O. N.C. C.shrl Check Received byContra '�'� Trees required F Sewage Systemtc' 'Address Ci ty ♦ Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: +$ewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. r' I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH + RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. � ell, 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284•208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ....... ,... .:A . A. - - -> - -L: -:—;-, ._..+ 1, q,. •. '.r r:... ,. &J... -r-. .. r+_ io•:: . �». .__ - . �%.+- :vv, r`. r ..ria r._. _ � sws`.. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I 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 G 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing J 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.O. OP'N NO. 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 (Botts) 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 t Final Tank Pit L.Line REAR OF PROPERTY LINE ` PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 8/ 29A Grounding Wire ';29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 49g 9/74 CANARY—FILE, PINK—APPLICANT Owner chitect Contractor .�:. Addres> ��� �/✓/�Le�_ AddressL rz CitY44: 4TA/l/.i'1 f"/� City_ City,/ - Phone ( y 22 j� Phone Phone ?01 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 pr er y to be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governing said proper y / DATE SIGNATURE OF OWNER AND/OR AGE Approval by Signature from the Following Departments Liste Below Must Be Obtained Prior to the Issuing of a Construction Permit. y a I SPACE NO. , USE OF STRUCTURE JOB ADDRESS SINGLE FAMILY DUPLEX se Z H LEGAL DESCRIPTION OF PROPERTY �%G--�% — l%(%,_ APARTMENTS AGRIC. El r W Q ❑ INDUSTRIAL COMMERCIAL 10N 5: 4A _ C COMMUNITY . r _ ALTERATIONS r^'>�' Z N0. OF SUBMITTED'PLANS _ USE OF PERMIT- �'!: !%L ` %�` %��� _ 4 CASE NO. p Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -- J� ZONE j4 A SETBACKS: FRONT SIDE REAR m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE i SETBACK ORDINANCE # _— OF FEET REQUIRED ON ��� �EET DATE �- <�a SIGNATURE OF LAND USE OFFICIAL , _.�L DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_—_ F W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET F d 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 ❑ NO ❑ °L DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS �n FLOOD CONTROL Z AIR,POLL�U=TION: = h DIVyOF. - c YOUR PROPERTY MAY BE SUBJECT T'0 < _w c FLOOD. RIVERSIDE COUNTY ASSUMES 'K NO RESPONSIBILITY IN EVENT OF FLOOD. 284 49g 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N Effective July '1 1980, Chapter 1301 Section 19825•of the'. he 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: - LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with -Section 7000) of Division 3 of the Bus'ines ednd Professions Code and my license is in full force and effect. License Class 0 License No. A t% � � 7� Date��/�/��! Contractor [� r OWNER -BUILDER DECLARATION I hereby affirm that I am.exempt from the Contractor's License Law for the following reasons: 0 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 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. EJ 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 ofpelabor code, I must forthwith comply with such provisions or this perm//it shall be deemed revoked. Date7;"z �� 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 0 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.) 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 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 have applied, for this permit for the purpose of maki g inspections, 40 ig rurreof pp icant gent Date �0r nt pplicant/ gent Name _ 284-2000 7/80 DEPARTMENT OF BUILDING AND SAFETY . COUN'TY'OF RIVERSIDE OFFICE DATE TIMES S PERMIT NUMBER —= ? Y� �✓ g y ! INSPECTIOI ADDRESS SPACE NO, I REQUESTED FOR: S — A:M. OWNER COMMUNITY g y INSPECTION E] P;H. BUILDING PLUMBING ELECTRICAL MECHANICAt F I P.M. BUILDING PLUMBING ELECTRICAL MECHANICAL aTOES . f#£D REMARKS: TUE S THUR FRI L, OWNER/CONTRACTOR TEL 'NO. f -. ' A 2fl1=bf {I�iS , REMARKS: DEPARTMENT OF BUILDING AND. SAF-ETY . COUNTY OF RIVERSIDE OFFICE DATE�TIME / LJ PERMIT NUMBER e g y INSPECTION OWNER ncnice►cn ADDRESS,SPACE NO. FOR. A.M. OWNER COMMU TY P.M. BUILDING PLUMBING ELECTRICAL MECHANICAL a� TUE S WED REMARKS: s y. TMUR E] FRIO OWN ER/CON TRACTOR TEL.NO. DEPARTMENT OF BUILDING AND SAFETY,. COUNTY'OF RIVERSIDE OFFICE DATE TIME ` PERMIT NUMBER I INSPECTION ADDRESS SPAC TISPACE RCWV CYI CV I F� A.M. OWNER COMMUNITY P.H. BUILDING. PLUMBING ELECTRICAL MECHANICAL _ I El TUES El WED° REMARKS: THU> �FRI OWNER/CONTRACTOR TEL.NO. 2" N/7S DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF'RI VERSIDE OFFI I DATF It ADDRESS OW REMARKS: OWNER/CONTRACTOR TEL.NO. INSPECTION REQUESTED FOR: A.M. P.H. TUES a. WED. Q THW i �FRI 284 t1/75. PERMIr NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE Dsr 418091 COUNTY OF RIVERSIDE I �/ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES INO.1 PLUMBING FEES 1ST FL. 2ND. FL. POR. SQ. FT. @ UNITS Dist. SQ. .FT. @ YARD SPKLR SYSTEM SQ. FT. @' MOBILEHOME SVC. T' BAR SINK GAR. SQ. FT, @ CAR P. SQ. FT. @ ALL SQ. FT. @ '.��[/t SQ. FT. @ 7 ESTIMATED CONSTRUCTION VALUATION . $ POWER OUTLET . 6id�"""� 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 Zone Restrictions GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED SMI Fee 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 Owner/Agent SQ. FT. @ C WATER HEATER Total Fees $ Pddr SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL `ti+k SQ. FT. GAR @ sG c HOUSE SEWER A �o / Trees required GAS PIPING PERNiI��FEE �\ City Zip PERMIT FEE PERMIT FEE DBL. TOTAL FF25/ /03 L77 MOB. HM. FEE i' MICRO FEE r MECH. FEE PL. C Ff , ;�+ 41C CONST. 4%� ELECT. FEE � -2,S y I S I -- FEE PLUMB. FEE ' PERMIT NO. 8091. .� Job Address ► 5 Space Zip Ow r�� Community �'�z(/�' Valuatiioln, $ Date Dist. I Off. I F.0 C. MH.Permit Fee E Micro Film Fee Cop $ Use o Permit Parcel No. Use/Case No. Ck/(B/y/Y�J Mech. Fee Dbl E Pl. Ck. Fee $ Set Backs Lot Size ' Construction Fee Dbl E Legal Description °Yl'�•�w (� 'y � • E'' 9�' f G!J F S S R Electrical Fee Dbl $ Zone Restrictions Group lie— Type !' SMI Fee Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date Inspector Unit , Sp. Insp. Fee $-�'•" - Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers ✓9 �4/ ( Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Pddr s City Zip 'W.&-FT'N.c.n cc.shfn Check Received by Contra r 6.� �(//T%c;y � i. / Tel. 7/ �" v V' j"` 7 / �o / Trees required Sewage System low Address 4 City Zip 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 WS F RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. B/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. - verified by: 'o .