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418334 (BLCK)PERMIT NO. 418334 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE lRL'� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST fl. 2ND. FL. _ FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Valuation $ SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. 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 Final Date GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Sp. Insp. 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 Contractor ) f—_,6-' 1,,.f e"f SQ. FT. @ c WATER HEATER Trees required S0. FT. RESID @1'/.c SEWAGE DISPOSAL CityZip f ' S0. FT. GAR @ 1%C HOUSE SEWER Sewer District GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES ,Ir MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE o d SMI FEE FEE PLUMB. FEE PERMIT NO. 14183341 Job Address Space (le '.q Zip 6�. Z ner Community L) �l/�� Valuation $ Date Dist. G / Off F.C.C. MH.Permit Fee $(,K Micro Film Fee Cop $ Use of Permit (3 J Parcel No.3 /, // �r /S 2 w! Use/Case No. Ckk.. yBy (.T Mech. Fee Dbl b PI. Ck. Fee $ Set BacksLot Size Construction Fee Dbl $ Electrical Fee Dbl $ Legal Description F '" ..Z ! 16 '11¢ S Sp1ro-P Zone Restrictions Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date Inspector 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. Zip Total Fees $ (,46 'Address City Zip M.O. N.C. Cash Chec Received by i Contractor ) f—_,6-' 1,,.f e"f Tel. G/ +- `' d License# �is t Trees required Sewage System T LL P Address /} / / G rLr 10/��+ � CityZip f ' THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 6!-1 1 HEREBY AGREE THAT ALL WORK IN CONNECTION_VtSITRTHIS PERMIT WILL BE DONE IN ACCORDANCE WITH Sewer District Irlt LAWS OF KIVCKJIUt I.UUNIT ANU IFIL WAIL UF,',;ALIFUKNIA. EJ l I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREF'AI ED THE PLANS AND SPECIFICATIONS HAS DONE SO IN s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND'PROFESSIONS CODE OF THE STATE OF CALIFORNIA. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS I Set Back 33 Ventilation System 2 Ftgs 8 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. NON T ADDIITION/AL( INFORMATION , _ _ 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 Z,.- 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 29A Grounding Wire 298 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 •v Permit No 284 199A 9/74 'Y_- CANARY—FILE, PINK—APPLICANT -Owner' . %� Architect__ —. ___ Contractor_ ,fir; rte, vv6z- 2 '`"� Addretss —_ Address___ Address./-�[!��'��,y,; Ciry_— City_�_t_� `— Phone Phone _ Phone—t-zv 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 property to be occupied until I (we) have complied wii�th all laws of the County of Riverside and the State of California governing sat pro-peerjty. I DATE - SIGNATURE OF OWNER AND/OR AG NT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit 1 SPACE NO. JOB ADDRESS �/ S, f/ Lel i �' r1i— r"�- L S 3 USE OF STRUCTURE ZNGLE _t' FAMILYi]" DUPLEX LEGAL DESCRIPTION OF PROPERTY =° _ /� — g 1—�-5� — v / APARTMENTS AGRIC. Z �% �.-=—�o�� — 1 •� = N .%�r7 _may_ /-�-- COMMERCIAL Ej INDUSTRIAL ❑ Z COMMUNITY ALTERATIONS �� NO. OF SUBMITTED PLANS USE OF PERMIT j Q CASE NO. l7 p Z NO. OF PARKING SPACES REQUIRED .—_ NO. OF BUILDINGS NOW EXISTING _ Q ZONEr SETBACKS: FRONT SIDE REAR J Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON STREET DATE `� SIGNATURE OF LAND USE OFFICIAL f v F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- — z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET 09H a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ r W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D C IMPROVEMENT? YES ElNO El °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC Q W SEWAGE DISPOSAL — FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS H FLOOD CONTROL t - Z AIR POLLUTION � W = � t - DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO LU c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD.. 284 199A 9/74 'Y_- CANARY—FILE, PINK—APPLICANT DEPARTMENt OF BUILDING AND SAFETYj. APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT it Effective July 1, 1980, Chapter 1301 Section 19825 of the Health 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. 0 LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of then Business and Professions Code and my license is in full force and effect. B License Class C — 13 License No. 3S & 9-1/9 Date 4/a I -e5 7 —01 Contractor L )cE/l CC"' 3700- C! /< C 1-),e C,4e/o 10 ►7?C.n O , OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: [� 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.). Q 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 , 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. )(U)0 /3 ,5`'F / . Insurance 6WO o r`'p(,yo ( �/ Lvc 61! 0 Certified copy is hereby furnished. 0! Certified copy is filed with the County of Riverside, Department of Building and Safety. Date L//201 g / Appl icant (der F7diCP _ .51` t e &. C D -PO. 0e) Q + 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 l.abor 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 n 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.) 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. r 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 I have applied for this permit for the purpose of making inspections. Signature y Applicant/Agent ' ate `5,uCl QoLv) �Ae -evI-e Print pp cant/ gent Name 284-2000 7/80 BUILDING PERMIT PERMIT 3 4 80334 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE /Sr/ COUNTY OF RIVERSIDE r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. 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 Construction Fee Dbl $ 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 Sp. Insp. Fee $ SQ. FT. @ c WATER HEATER Const. Lender Branch SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 c HOUSE SEWER Mileage Fee $ Address City Zip GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. yyFEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 14183341 Job Address , S �� ��/�. �.le,t Space Zip caner ccommunity V Valuation Date Dist. F.C.C. MH Permit Fee $ Micro Film Fee C0 $ Use of Permit 't �'' �{� I�+J M„� � Parcel No. / %' / / ��1w./ Use/Case No. Ck. Byte\^ Mech. Fee Dbl E PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description L ! / 47 4 V C7�) r�I_ �� V 4 e>•^'—' F S S R Electrical Fee Dbl $ Zone Restrictions "" Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Fina Date Ins for Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ 4/ Address City Zip M.O. rN.C. Cash EI Chec Received by Contractor �'/,.�� % �J rw+�/y ') �. r`" L `�� G J / 1✓ C.. Tel. `w+^ ` .,5 M �jI Licensse## Trees required Sewage System Address /� %4//,f �A� �.� j�e Cit y t- -(ale 4., -eiP Z T LL P $ewer District THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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.