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413963 (ELEC)BUILDING PERMIT ' PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELDST D 413 9 6 3 COUNTY OF RIVERSIDE l / CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. ea POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as pioperty 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 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 ,f POLE, TEMP/PERMe. LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ a BATH TUB SO. FT. @ a WATER HEATER S0. FT. RESID ca 11/aa SEWAGE DISPOSAL S0. FT. GAR @ 3/4 a. HOUSE SEWER GAS PIPING PERMIT FEE r PERMIT FEE ! (i PERMIT FEE DBI. TOTAL FEES MOB. HM. FEE MICRO*FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE,, SMI FEE FEE PLUMB. FEE 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 1 Final 26 27 28 29 29A 29B 30 31 32 Power Pole Conduit Service Entrance Wiring Grounding Wire Bonding Fixtures Service Final AGE SYSTEM SIZE & LOCATION ELECTRICAL APPROVALS REAR OF PROPERTY LINE L- 3 -SI P/L P/1 Nr STREET NAME PERMIT NO.. - 4139 Job Address Space i � � �✓� �' �� . � ��; �-�z Zip � �:. � . Owner r. ;;,�:�: ;; � :. r� Community �/r`. 'r t j i;J J •� Valuation b Date 1 < Dist. 011t F.C.C. MH Per Fee S Micro Film Fee Cop b Use of Permit Y 1 Parcel No. f Use/Cos. No. Ck. By Mach. Fee Dbl_•7�'�-' Pl. Ck. Fee b Set Backs Lot Size , Construction Fee Dbl S Legal Description ., i l J /�T. r� j�/ �'.• F �jA f S 5 R Electrical Fee Dbl b / % a• Zone Restrictions G Group P Te YP SMI Fee Plumbing Fee Dbl S Bond A.I. E Pion No. Pion Checker Final Date /X}�s -✓ " v Inspector Unit Sp. Insp. Fee S Dental. Fee b Const. Lender Branch Supplimentol Permit Numbers oe - Regist, Fee S Mileage Fee b Address City Zip 1 Witness Fee S Reinsp. Fee b.r Owner/Agent %r - r/. .sem � f - i � r� /'' � 1�1, J +.• Tal. Zi p ✓' � � •- r 1 Total Fees 5 , I Address) �/ %� ! City Zip �,. M.O. N.C. ❑ Cash Check Received by ri'' Contractor Tel. License# Trees required Sewage System. Address City Zip T Ll � P THIS PERMIT SHALL BECOME VOID"IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 THE LAWS OF RIVERSIDE COUNTY AND'THE STATE OF CALIFORNIA. x. --.4-HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN_ NC SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.' Form 284-208 (Rev. 1/8801 - j-. , NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Figs & 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 16A 11 12 12A 13 Fireplace T.O. Exterior Lath Internal Lath Dry. oll Finish Grade °oN ADDITIONAL INFORMATION INSULATION Thick •.R" Value 7A Wolls (Batts) 128 Ceiling (Batts) 12C I Ceiling (Blown) 14 I Final PLUMBING APPROVALS L ,L r DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER VERIFICATION c(C_ 6, -t 5 owner Address V ' An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity.to avoid unnecessary.delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for con- struction of the proposed.property improvement (yes or no) 2. I (have /A�e--mt)- signed an application for building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the pro- posed construction: Name Phone Address City Contractors License No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Phone Address City Contractors License No. 5. I will provide some of the work but I have contracted (hired) the fol- lowing persons to provide the work indicated: Name Address - Phone Type of work Social Security Number 284-2002 7/80 i1 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner -builder you are the responsible party of re- cord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the pro- per permit in his or --her name. Contractors are required by iaw to be licensed and bonded by the State of California and, where required, to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware bf the following information for'your benefit and protection. If you employ or otherwise engage an persons other than your immediate family, and the work (including materials and other costs is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemploy- ment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to -perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner - builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, DEPARTMENT OF BUILDING AND SAFETY =o� Leopoldo Rojo, Jr. Director 284-2001 7/80 A