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403565 (BLCK)BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING 8t: SAFETY 403 5 6 5 11 COUNTY OF RIVERSIDE FIELD fDs%r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING -SEES 1ST FL. SO. FT. @ $ UNITS Owner - rr i 2ND. FL. SO. FT. @ Community YARD SPKLR SYSTEM POR. SO. FT. @ MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. SO. FT. @ Micro Film Fee Cop $ DRAINAGE PIPING WALL i SO. FT. @ \ �.� ` — ICS• ✓1\ DRINKING FOUNTAIN SO. FT. @ Use/Case URINAL f ESTIMATED CONSTRUCTION VALUATION $ Mach. Fee Dbl $ 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 Electrical Fee Dist $ GARBAGE DISPOSAL FURNACE UNIT WAIL 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. SO. FT. @ a BATH TUB SO. FT. @ a WATER HEATER Suppliesimmmeend/taalll Permit Numbers S0. FT. RESID @ 11/44 SEWAGE DISPOSAL Mileage Fee $ SO. FT. GAR @ 3/44 HOUSE SEWER Reinsp. Fee $ Own/•Agent r, ;. ;;/ T f �,% J _ GAS PIPING PERMIT FEE Tel. PERMIT FEE PERMIT FEE DBL. TOTAL FEES.,MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK: FEE ,CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE l ..� -- Tel. License# .. PERMIT NO. 403565- -. JobAddi:ess �- - - - -� - Space ►� ��:>. ��/�,<<:^t� Zip <<�� Owner - rr i - - - r. Community i<i Valuation $ 4`!`, G • �,. . V Date O —7 • t} � Dist. I . � Off. i- F.C.C. , MH Permit Fee $ Micro Film Fee Cop $ Use of Permit `\ \ �.� ` — ICS• ✓1\ Parcel No. 1 ~/ ll [ '- U 0 Use/Case No. Ck. By i i� Mach. Fee Dbl $ Pl. Ck. Fee S Set Backs Lot Size ; i j Construction Fee Dbl $ Legal Description 1 9 l) (Cta j 1 �yf ' } 1 •d �. �� d_l �� Z/-. {,y ` Pl/ f F S S R Electrical Fee Dist $ Zone Restrictions f"t Group Type , SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Dote Inspect Unit J- Sp. Insp. Fee S Demol. Fee $ Const. Lender Branch Suppliesimmmeend/taalll Permit Numbers i. Registr. Fee Mileage Fee $ Address -�City 9r'Zip Witness Fee $ Reinsp. Fee $ Own/•Agent r, ;. ;;/ T f �,% J _ .✓'r rwf1�. ' Tel. Zip Total Fees S Address ,.. '" . .... f �.,C" •j v %i- 4A / : .. �. City ^' s d 1 Zip P tl L G.� -5 4 !< M.O. ❑ N.C. ❑ Cash ❑Check Received by Contractor -- Tel. License# .. Trees required Sewage System Address City Zip T LL Is 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. . � x 1I HEREBY AGREE THAT ALL. WORWIN CONNECTION. WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. EBY CERTIFY THAT,THE -INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ,,Form 284-208 (Rev. 1/80) CCC..✓/��7 ORDANCE'.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 o -13-96 33 Ventilation System 2 Ftgs & Frms �y� t� 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel jO� ` 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion Air 5 6 Bond Beams Roof Deck 38 39 Compressor 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.O. °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 e ( 3 -.---------PLUMB[NG-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/ I 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding i 30 Fixtures 31 Service 32 Final • STREET NAME PERMIT NO^••" DEPARTMENT OF BUILDING & SAFETY , FIELD OFFICE 0/1 4 0 3 5.6 5 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST Fl. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Zip � z SQ. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ " DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ 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 Set Backs 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 HIP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ a BATH TUB Plan Checker SQ. FT. @ a WATER HEATER Inspect S0. FT. RESID @ 1 t/<a SEWAGE DISPOSAL S0: FT. GAR @ 3/aa HOUSE SEWER Const. lender • GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBI.TOTAL FEES 0 — M08. HM. FEE MICRO -FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE �!j es �.. SMI FEE - FEE PLUMB. FEE PERMIT NO. 403565 Job Address — -T_Space Zip � z Owner . F - Community Valuation $ on Date I,r Dist. Ott. F.C.C. MH Permit Fee $ Micro Film Fee Cop S Use o err i Parcel No. -77,4*- 0 l� ., O / IIIGQQJ use/Gose No. 171 � Mech. Fee Dbl $ Pl. Ck, Fee S Set Backs Lot Size Construction Fee Dbl S ap Legal Description yI 1.. i 1 1 / s .! 1 Q C. 1� r � iIA(� F S S R Electrical Fee Dbl $j-�� Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. S Plan No. Plan Checker - Final Date` el— —'CC // I Inspect �] Unit Sp. Insp. Fee S Demol. Fee S Const. lender -Branch Supplimental Permit Numbers - Regisir. Fee S Mileage Fee $ Address - City Zip Witness Fee Reinsp. Fee $ Ower �enlj re+" C" t /' Tel. - Zip Total Fees Is A Address .. tI ° t City 2 Zip M.O. N.C. ❑ Cash Q Check Received by Contractor Tel. Licensee 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 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 ACCORDANq WITH THE 'LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. ` I EBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. 1/80) -ORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: J NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT �< APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner Zs Architect---.---- Contractor d��� _ del -1496e_ Address'✓�"/-�T�O/ IF -V44( y!ftt Address___ Address---_ �_ ---_- City �/�f N%�r/� City_ _ City- Phone _ Phone- --.--.-._ 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 propert to be occupied u iI I (we) have complied with all laws of the County of Riverside and the State of California governing said property. Mo ®('� /7C DATE J------ SIGNATURE 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. USE %S�TRUTURE JOB ADDRESS _-_ -. -- SINGLE FAMILPLEX > Z !- 0 LEGAL DESCRIPTION OF PROPERTY - — APARTMENTS AGRIC. 14 srv�cs� x.18 COMMERCIAL INDUSTRIAL ❑ '^ C COMMUNITY L rti>1� ALTERATIONS T NO. OF SUBMITTED PLANS - USE OF PERMIT � Q CASE N0. � � 47 Z NO. OF P IRKING SPACES REQUIRED ._ -_ NO. OF BUILDINGS NOW EXISTING -- - Q ZONE �r SETBACKS: FRONT SIDE REAR J m GRADING,PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON STREET /0- DATE SIGNATURE OF LAND USE OFFICI _ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET H W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET t - a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT -PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ °t DATE __-.- SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS FLOOD CONTROL - F z AIR POLLUTION = DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO o: - 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 OWNER -BUILDER VERIFICATION Address i ti An."owner-builder" building permit has been applied for in your name and bearing ,,your.• s.i gnature,. It Please complete and return this information in the envelope provided at your ' earl .iest,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/have not) signed an application for building permit for IWC 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 fol1 owing ' ' person to coordinate, supervise, and provide the major work: Name t, Phone, Address -City, Contractors License No. 5. I will provide some of the work but I have contracted (hired) the fol- L lowing persons to provide the work indicated:-":," Name Address .' " Phone Type of work Y.�1 711.-, ... � � .v ._ i v,Jl. .. .. :y 4. i.t :1-:i y. :. i:_ ! 1 1, [vl. .,. •�: t. � ;'r i M. r �li/� F �./ - .. � . — ti..i ti .� .r, 'e .tj:.. •r' �;�.? rla, ^,� _ r�r.,i:F.t yr(�M�;.••, � '. r�n � .:/.,� ji�iC/� J . ._r. ,� ,` r �, r - �� L 'i S.ignaturel--Property Owner Date `)"Social Security Number 284-2002 7/80 Lill Vr DVILU111U hUVU 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 law 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 la_w 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 of the following information for your benefit and protection. If you employ or otherwise engage any 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 Leopoldo Rojo, Jr. Director 284-2001 7/80