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413967 (MISC)BUILDING PERMIT PERMIT NO. 413967�c PERMIT'NO. 1413967 Job Address ,(//�/� �j-/�� /V t/ C DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE . Owner 4^✓ �/ DST /! CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. - CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS F.C.C. MH Permit Fee $ SQ. FT. @ YARD SPKLR SYSTEM Cop S SO. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS Use/Case No. SO. FT. @ - DRAINAGE PIPING Mach. Fee Dbl S SO. FT. @ DRINKING FOUNTAIN Set Backs SQ. FT. @ URINAL Construction Fee Dbl SF VALUATION $ - WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Electrical Fee Dbl S✓ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER SMI Fee S VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Plan No. APPLIANCE DRYER Final Date GARBAGE DISPOSAL Unit FURNACE UNIT WALL FLOOR SUSPENDED Demol. Fee LAUNDRY TRAY Const. Lender AIR HANDLING UNIT _ CFM IDLE METER KITCHEN SINK Mileage Fee S 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 �/D {� BOILER B.T.U. SO. FT. @ a BATHTUB SQ. FT. @ a WATER HEATER Licensee Trees req ' e S0. FT. RESID @ 1 t%a SEWAGE DISPOSAL Address - S0. FT. GAR @ a/4a HOUSE SEWER GAS PIPING U PERMIT FEE PERMIT FEE PERMIT FEE DBL. ZTA&V MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE 9MBsm PERMIT NO. 413967�c Job Address ,(//�/� �j-/�� /V t/ C / �•+/ /. �4/p,J Cj(J Space Zip ." j� +'• ' Owner 4^✓ �/ Community 'LIP &1%C Valuation Dote l Dist. F.C.C. MH Permit Fee $ Micro Film Fee Cop S Use S Permit Parcel No. - / (/ v.l IS45- Use/Case No. Ck/.By Mach. Fee Dbl S PI. Ck. Fee $' Set Backs Lot Size Construction Fee Dbl SF t/J /J (/ - a f d S S R Electrical Fee Dbl S✓ Zone e s Group Type SMI Fee S Plumbing Fee Dbl S oBond Amt. S Plan No. Plan Checker Final Date Insp or Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Branch Supplimental Permit Numbers Regisir. Fee S Mileage Fee S Address f City Zip rt �/ �y ; T r 1)17 r f Witness Fee S Reinsp. Fee $ Owner/Agent j (/� Tel. Zip Total Fees S 5a Address �/ /a . , �(jr �/D {� City n , J 4"'�'i. Zip /V i .✓ . M.O. E] N.C. ❑ Cash Check Received byContractor - Tel. Licensee Trees req ' e Sewa a System Address - City Zip T �. 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. RER Y C FY THAT THE INDIVIDUAL WHO+REPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284208 (Rev. 1/80) E WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. BUILDING PERMIT PERMIT NO, DEPARTMENT OF BUILDING & SAFETY 413 9 6 7 COUNTY OF RIVERSIDE FIELD Dsr CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Ari ma 1ST Fl. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Community %% 1_./Vt l�/.1%/'.V SQ. FT. @ YARD SPKLR SYSTEM Valuation S SQ. FT. @ MOBILEHOME SVC. BAR SINK ' Date SO. FT. r@ POWER OUTLET ROOF DRAINS O/fj.-' -I SQ. FT. @ DRAINAGE PIPING MH Permit Fee 5 SQ. FT. @ DRINKING FOUNTAIN Cop $ SQ. FT. @ URINAL /i'�✓ " f 1T/tr✓f%�Gr VALUATION $ WATER PIPING Parcel %Nam% ° / / /'fJ.�I NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN PI. Ck. Fee S MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Construction Fee Dbl S VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) S R APPLIANCE DRYER Zone e s GARBAGE DISPOSAL Type FURNACE UNIT WALL FLOOR SUSPENDED SMI Fee S LAUNDRY TRAY Dbl S t AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Plan Checker ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY Const. Lender HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. @ a BATH TUB Witness Fee $ Reinsp. Fee SQ. FT. @ a WATER HEATER ' ( S0. FT. RESID @ 1 t/aa SEWAGE DISPOSAL Total FeesS S0. FT. GAR @, t/4a HOUSE SEWER �L;r��•�V IJ Of /� /t/7 g s 'VXi GAS PIPING M.O. E)N.C.❑ Cosh Check ❑/ PERMIT FEE PERMIT FEE PERMIT FEE J DBL. TOTA�..FEE$ Mor OB. HM. FEE MICROFEE MECH. FEE PL. CK. FEE CONST. fEE ELECT. FEE SMI FEE FEE Pl B,QFE PERMIT 110, F4139 6 7 _ __ __ _ — _lob Address -__pace 5/ �, s Ari ma �L�o a Zip Owner = S- -Zrr tr / , Community %% 1_./Vt l�/.1%/'.V Valuation S Date Dist. O/fj.-' -I F.C.C. MH Permit Fee 5 Micro Film Fee Cop $ Use A Permit .7 ry .) /� /i'�✓ " f 1T/tr✓f%�Gr cam' Parcel %Nam% ° / / /'fJ.�I Use/Case No. Ck. By Mech. Fee Dbl $ PI. Ck. Fee S Set Backs Lot Size Construction Fee Dbl S Legal D cription yJ T S V - i /^//, / ��/ h' e -e / 1 F S S R Electrical Fee Dbl S Zone e s Group Type SMI Fee S Plumbing Fee Dbl S t and Amt. S PIon No. Plan Checker Final Date Inspector Unit Sp. Imp. Fee S Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers - 1XN J Regist, Fee S Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent ' ( Tel. Zip Total FeesS = Address � �L;r��•�V IJ Of /� /t/7 g s 'VXi Zip M.O. E)N.C.❑ Cosh Check ❑/ Received by Contractor Tel. Licenselt Trees recl j e' sewn System I• r tdif Address - / • City Zip T Ltej,,1`'41P 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. 1 CI• 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. k i 16 THAT THE INDIVIDUAL WHO'?REPARED THE' PLANS AND SPECIFICATIONS HAS DONE SO IN Form 484•208 (Rev. I/80( CCE WITH SECTION 5541 OF THE BUSINESS.'AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. w, verified by: NO. OPERATION DATE INSPECP16R 'NO. OFERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 ventilation System 2 Ftgs & Frms 34 Rlenums 8 Duct: 2A Slab Grade 35 Furnace Compart. 3 Steel 36 Nets 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 Emoke Detectio■ Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T. 0. °o .ADDITIONAL INFORMATION ' SEWAGE SYSTEM SIZE S LOCATION 11 Exterior Lath 12 Internal lath 12A Drywall r 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 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 11-47-81 25 C FinalZ 1_ / Tank Pit L. Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS ' PSL P/ 26 Power Pole 27 Conduit 1 28 ( Service Entrance , 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME DEPARTMENT OF BUILDING AND' SAFETY �? COUNTY OF RIVERSIDE' s :� OWNER -BUILDER INFORMATION Dear Property, Owner.: An application fora building permit has been s bmitted in your name listing yourself as the builder of the, -property improvements specified. _ A 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- -t= '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 award' -6f the following information for your benefit and protection. _If you employ or'�,otherwise engage_ony,persons other than your immediate.family, and -the work (including materia -hs and.other'..costs is $200 or'more for the entire project, and such persons, -are not licensed as.c6pi'l actors or subcontractors, then, you may be an employer. J`"•"If you are ,ar,; employer; y'U,, st st ;with thestate and federal government as an employer and you are subject to several'obligations including stte and federal income tax,wi'thhol:ding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemploy- ment compensation contributions. ,z '. w :+ There -may be.financial=risks for -you if you.do not carry out -these obligations, and these risks are especially serious, wid 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 .throughtheir own.emp.loyees, without a licensed contractor or , subcontractor, only under limited. conditions . - z3` _"";• A frequent practice of unlicensed persons professing.to be contractors i -s to secure ani",,4 e1` .builder!' -building permit',,erroneously implying that the property owner is.provelay.04 or tier own•. labor and material, personally. "Building permits are not required to be'.signeeddyby:�.,,operty owners' unless they are performing.,their -own work personally. Information about licensed contractors may be•obtainedsby-;conontractor's' Stale 11 cense Board in your community or at 1020 N Street, Sacr'amentolll 95814. Please complete and return the enclosed-owner-bdj-10r vert"fication form°so that ,we can konfirm..fhat you are ' aware of these matters. The bui 1 di rig' permi t w.i 'not be '..sued; unti 1, tfie veri,fA cati on is returned. i . " �• �!'.,3"� `_ Sincerely, - e` DEPARTMENT OF BUILDING AND SAFETY. <IIIrS„��� Sl,• ref r ,.• '� { .' Leopoldo Rojo, Jr. Dpi rector. ' • r. .,qr 284-2001 7/80 plj DEPARTMENT OF BUILDING'AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER VERIFICATION r Address 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 issuin!+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 the proposed wort. 3. I have contracted with the following person (firm) to provide the pro- posed construction: Name Phone Address City Contractors License No. 4. J plan "to prov.i de 'porti oris of, ,the wtbrk,+ but I have ,hi red the following ,person to coordinate,1su0ervi"se,-and provide the major work: Name Phone Address City Contractors License No. `r ;. 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 y Signatures Property Owner Date AT Security Number 284-2002 7/80 f ? NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT, :._ DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE ..: ,•.� .fix r�_x .• w , - ;Ct y Addr�s� V .,11 i t;f1�,F �1,�ZAddress_ 1,`ir f A 4 ddress_ Cit -51-r-44 --rt .:,, rl<t v",Ilvrncit ,h� Yy Y � - - '•.,City DISTRICT Phone l- �/-IJAf I r` Phone f ti'4 Phone ' e 'Permit No - �` �,. I (we) the undersigned, hereby certify and acknowledge that I (we) have read the aDGlication 'arid agree that' if CuOtry.and `Gutter; and � - W Z Paving;,and/or Dedication of right of way is required by the County of Riverside, the Riverside C,pj.(nty Department' of rBu lding and Safety" 3 shall n�t 'make a Final Inspection until said requirements have been met. I am also awareT.that,no;,, ork is to be 0one,within the Couhty•R/W 284 199 9/74 " - CANARY— FILL ,_. PINK-, APRLtCANT f* OwnerA°rc#titect " 'Contractor. { y Addr�s� V .,11 i t;f1�,F �1,�ZAddress_ 1,`ir f A 4 ddress_ Cit -51-r-44 --rt .:,, rl<t v",Ilvrncit ,h� Yy Y � - - '•.,City Phone l- �/-IJAf I r` Phone f ti'4 Phone ' e - �` �,. I (we) the undersigned, hereby certify and acknowledge that I (we) have read the aDGlication 'arid agree that' if CuOtry.and `Gutter; and � - W Z Paving;,and/or Dedication of right of way is required by the County of Riverside, the Riverside C,pj.(nty Department' of rBu lding and Safety" 3 shall n�t 'make a Final Inspection until said requirements have been met. I am also awareT.that,no;,, ork is to be 0one,within the Couhty•R/W O, without?,.n encroachment permit. �. ; • - NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property J, 6 be•oc�upied untilI (we) have-•"(i,� complied with all laws of the County of Riverside and the State of California governing said property. •,�� '•' �'j f a rl DATE SIGNATURE OF, OWNER AND/OR AGE Approval by Signature from the Following Departments Listed Below, Must Be Obtained Prior to the' Issuing of! a.Coiistruiaion .Permit.)", y . SPACE NO. USE OF STRUCTURE, r . ~JOB ADDRESS _ !! SINGLE FAMILY DUPLEX /{ +-��� �«. } Z F LEGAL DESCRIPTION •6�F/PR PERTY" l�rc �rE. • i / INA r-, APARTMENTS,. w u , ,i — .� �- APARTMENTS, AGRIC.. -^ O in Q - r - .y - -+' •-- �_ qa' +,5 f c.i• , ,p; - '+" COMMERCIAL 'INDUSTRIAL. •'_ C1 '^ COMMUNITY a• r ALTERATIONS C ` O Z N0.}OF�UBMITTED PLANS — USE O�RERMI�} f - f �"�%--°%' = • _ CASE NO. O Z NO. OF PARKINGJPACES REQUIRED -? NO. OF BUILDINGS NOW EXISTING - Q Y . ZONE f1_ SETBACKS " FRONT, C `} SIDE REAR, j �f +]j)�GR DLt=GsPEI I�T;REQUIREO?;�'r fESx ty�JV �*f k OT SI7rE i x. r t: } - 1 '. -' • Y. %.�•Yi S1 f i!• i SE BACK OR ANCE # OF "` F T R OUI'RED ON ST EET s f DATE —" SIGNATURE 0F'LAND.USE OFFICIAL F DEDICATION REQUIRED: YES' [-INO:p N01p 6F FEET.__' ;? W . CURB.AND GUTTER'. REQUIRED: YES p. -'NO, : —STREET ' y •r CAN CURB AND GUTTER FEASIBLY BE `INSTALLED. YES ❑ NO.❑ r HAS AN ACCEPTABLE APPLICATION 'BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND. SIT Q IMPROVEMENT? YES ❑ NO'E] n n 'x r �ti z 3 °L DATE SIGNAT6RE -OF ROAD DEPT. OFFICIAI —"-- -= " iv __ i S SWIMMING POOLS PUBLIC t• •u SEWAGE DISPOSAL t ' f• = C FOOD ESTABLISHMENT k A e I WATER POLLUTION �`} .REMARKS i FLOOD CONTROL Z A R*POLLUTIONwo _ DIV OF HWY'• ?: c' a . - PROPERTY MAY BE SUBJECT T�01,' — JYOUR FLOOD. RI.VERSIDE.000NTY,ASSUMES }� ,4 J; - A NO RESPONSIBILITY IN EVEtJT OFLOD::' 284 199 9/74 " - CANARY— FILL ,_. PINK-, APRLtCANT f* -DEPARTMENT OF BUILD&NG'AND SAFETY �,. APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT q 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,:' [� 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 Lice6se,No. Date Contractor OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Lawafor, the following reasons: [� I, as owner of the property, or'my employees with wages as thei,r.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.). s, 0 I, as owner of the property, am exclusively contracting with licensed contracrtor-s t6 construct the project (Sec. 7044, B.&P.C.). ==, Q I am exempt under?Section B.r1&P.C. for this reason: ' r Date 7 /�;') 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 thereof4(Sec. 3800, Lab. Code). Policy No. Insurance 0 Certified copy is hereby furnished. Certified copy is filed with the Countytof Riverside, Department of Building and Safety. Date Applicant M 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,theiwork for which'.,this permit is issued, I shall not employ any person in any manner so as to'become subj'6A to=the'Workers' Compensation lamiof Californiaf 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).i Lender's Name �{ Lender'.s Address 4 �" DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION ~� Q I'hereby certify that no excavation five (5) or more feet in depth into which a person is re- s 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, .0-11 be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title.8',9C.A.C.) [� As owner-builder, I will not employ anyone to do work which would requ`i're a,permit from the Division of Industrial Safety, as noted above, unless such person has aipermit to do such work from that division. Q Division of Industrial Safety Permit No. Date Applicant ' CERTIFICATE OF COMPLIANCErAND AUTHORIZATION OF ENTRY s I certi-fy I have read this application and state that the information given is correct. I agree to complytwiih 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 havvveelapplied for this permit for the purpose of making inspections. ig ature o pp scant, gent._ Date rent pp scant/ gent Name+� � zli84-2000 ' 7/80