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413482 (SOL)NO. 13482 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD oST :+ CON. I'/(I,�CTION,EST MATE '1ST FL. `, 2ND. FL. U, rye _1�, w POR. :/ /V`7) GAR. CAR P. p F's WALL SO. FT NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET NO. PLUMBING FEES CL YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN Zi 7z SO. FT. @ CommunityValuation c.. '%� E.Y J N. r f=f URINAL Dote .._ v Imo11MH ESTIMATED CONSTRUCTION VALUATION $ Off. I,� WATER PIPING Permit Fee b NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Use/Cosa No. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Set Bock, VENT SYSTEM-- — FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) F S 5 APPLIANCE DRYER Electrical Fee Dbl $tr GARBAGE DISPOSAL Group FURNACE UNIT WALL FLOOR SUSPENDED SMI Fee S LAUNDRY TRAY Bond Amt. S AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Inspector ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Const. Lender Branch r , .e COMPRESSOR HP POLE, TEMP/PERM LAVATORY Address % j,.•� `: �Giiy.Zip / 7 %� J HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER , BOILER B.T.U. SO. FT. @ a BATH TUB City Zip Received by - SO. FT. @ a WATER HEATER Licenser ' Trees required SO. FT. RESID @ 1 t/aa SEWAGE DISPOSAL City Zip r; . S0. FT. GAR @ 1/44 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE '7 j • DBL. TOTAL FEESmOB. HM, FEE MICRO'FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PL B. FEE PERMIT NO. 413482 lob Address 5 ace 1- �" V �'C-1?N/ t120 Zi 7z Owner CommunityValuation c.. '%� E.Y J N. r f=f $ Dote .._ v Imo11MH Dist. Off. I,� F.C.C. Permit Fee b Micro Film Fee Cop S Use of Permit 4 �, � i c� leo o� t.t±.; � �7�; �� Parcel No. �r "^ '� .: l ., Use/Cosa No. Ck. By Mach. Fee Dbl S Pl. Ck. Fee E Set Bock, Lot Size Construction Fee Dbl $ Legal Description �r —, /"• j j - / S•�y'T L.r 1� F S 5 R Electrical Fee Dbl $tr Zone Restrictions Group Type SMI Fee S Plumbing Fee Dbl S Bond Amt. S Plan No. Plan Checker Final Dote 1-5-41 Inspector Unit Sp. Insp. Fee $ Dental. Fee S Const. Lender Branch r , .e Supplimenta Permit Numbers IVA j Registr. Fee S Mileage Fee S Address % j,.•� `: �Giiy.Zip / 7 %� J Witness Fee $ Reinsp. Fee S Owner/Agent i Tel. Zip Ot, Al FA Total Fees S I] [DM.O. N.C. Cash ❑ Check Adddrress 4. i-1 (� A 9� 4. .t City Zip Received by - Contractor p Tel. �2 `T Ca Licenser ' Trees required Sewage System 1' r yj dress l4 I/V fy4 City Zip r; . 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' r .1 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. LHERL&Y'•ClERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. 1/80) --'Wf5eORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA verified by:i NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPEC�OR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 3A 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 JOA Fireplace T. 0. °o ADDITIONAL INFORMATION - R SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 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 , ' P/L P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE' PERMIT N Effective July 1, 1980, Chapter 1301 Section 19825'of the HEealth 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: [_.•,J 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 License No. 3q��7d Q OWNER -BUILDER DECLARATION r 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.). Q I am exempt under Section Date 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 jWorkers' Compensation Insurance, or a certified copy'thereof'(Sec. 3800, Lab. Code).- Policy ode). Policy No. Insurance %'—�.� i :��-> >, . -r 0 Certified copy is hereby furnished. ' !Certified copy is filed with the County of Riverside, Department of Building and Safety. Date - ' _ > �-: �� Applicant r�A�-� •i �r ' _-��.�" y% 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 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.) 0 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 �ffoorWhi, h�fhav�`a`pplliieed for"'this permit for the purpose of making inspections. rgnat�ofpp icant ' ge'�� % � Date Print Applicant/Agent Name,­�- 284-2000 7/80 NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No /,/ . / _ ../ 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owner fAr hitect Contract ��� � Address' des Addre / s_ y� City-7City City_ Phone Phone Phone 01W 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 e n ithin 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 proper t be cupied t' I e) have complied with all laws of the County of Riverside and the State of California governing said property. `�y DATE SIGNATURE OF OWNER AND/OR AGEN Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. P 04,5 !/\ �GCTURE i / ,�� ` ��t* r , e�/l/�/F//.� �: t USE OF S JOB ADDRESS 1 I FAMILY [� DUPLEX > Z W L GAL DE RIP -T10 OF OPERTY 6�_ ,G�'SGJ�NGLE / Ct1 �/ �f— APARTMENTS AGRIC. fC`" 0 LL N /�� ( COMMERCIAL INDUSTRIAL rL rQ j C COMMU ITY p ALTERATIONS n N0. OF SUBMITTED PLANS — _ USE OF IT CASE NO. Z NO. OF PA,"rNG SP ES REQUIRED NO. OF BUILDINGS NOW EXISTING Q ZONE v /SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES 0 NO ❑ LOT SIZE � SETBACK ORD I NCE �OF FEET REQUIRED ON DATEr SIGNATURE OF LAND USE OFFICIAL F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H s 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 ❑ 49 DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL I SWIMMING POOLS PUBLIC WSEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ WATER POLLUTION _ REMARKS �n FLOOD CONTROL AIR POLLUTION W z DIV OF HWY o < — YOUR PROPERTY MAY BE SUBJECT TO 0 o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. 413482 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 1 COUNTY OF RIVERSIDE t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINP FEES 7 Nrvr S 1ST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. .@ $ UNITS eS 74 LFO Off. F.C.C. MH Permit Fee S SQ. FT. @ YARD SPKLR SYSTEM Use of Permit PPermit F] -q� �t / '+�" f / If i to [ o POOL j -4t5 A f 4./ 1?,. "`� SO. FT., @ MOBILEHOME SVC. BAR SINK Ck. By SQ. FT. @ POWER OUTLET ROOF DRAINS PI. Ck. Fee $ DRAINAGE PIPING. SQ. FT. @ Construction Fee Obi S DRINKING FOUNTAIN SQ. FT. @ Electrical FeeDbl S SO. FT. @ URINAL Plumbing Fee Dbl S VALUATION $ WATER PIPING Plan No. NOTE: Not to be used as property tax voluation SWIM POOL, PVT FLOOR DRAIN Unit Sp. Insp. Fee S MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Registr. Fee S Mileage Fee S VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Owner/Agent �' M k r LEN N 1 S Tel. Zip LA Oc1/&! 7 APPLIANCE DRYER Total Fees S A KO GARBAGE DISPOSAL City Zip M.O. 0 N.C. E] Cash Check FURNACE UNIT WALL FLOOR SUSPENDED Contractor ti rtr C �1c,t �(�L co LAUNDRY TRAY Licensell Trees required 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 SO. FT. @ c WATER HEATER ~ SO. FT. RESID @ 1 �'/4c SEWAGE DISPOSAL SO. FT. GAR @ t/44 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE do DBL. TOTAL3ES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE NO. 4134 8 2 Job Address (/. '' ({�' j�Jj � J / / �/� Spo<R !i 17 — /A I/ F �I4—,Y/ L/ t✓G j�i %PERMIT Z J 7 Nrvr S Community �.e ' i G,-1' '^ � • f I yaluotion S Date tY^!n1 � „� • o u Dist. Off. F.C.C. MH Permit Fee S Micro Film Fee Cop S Use of Permit PPermit F] -q� �t / '+�" f / If i to [ o POOL j -4t5 A f 4./ 1?,. "`� Parcel No. ( % Use/Case No. � `7 ,/ —�„% � — �! Ck. By Mech. Fee Obl 5 PI. Ck. Fee $ Set Socks Lot Size F S S R Zone Restrictions Group Type 1i— Construction Fee Obi S Legal Description Electrical FeeDbl S SMI Fee S Plumbing Fee Dbl S Bond Amt. S Plan No. Plan Checker Final Dote a/ —5^&— Inspector Unit Sp. Insp. Fee S Dental. Fee S Const. lender Branch - Suppiimental Permit Numbers Registr. Fee S Mileage Fee S Address ! , - ity Zip '^ + Witness Fee S Reinsp. Fee S Owner/Agent �' M k r LEN N 1 S Tel. Zip LA Oc1/&! 7 o (A 0 Total Fees S A KO Address/ 4' "�fi A Vr— I— City Zip M.O. 0 N.C. E] Cash Check Received by _ Contractor ti rtr C �1c,t �(�L co Tel. 7�4-cl�S6 Licensell Trees required Sewage System ddress 7D ( /V � � City Zip �rci�� M 111 1) UC T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by:, Sower District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. .1 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. H) CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) RDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.