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413805 (PAT)BUILDING PERMIT — PERRMMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST 11413 O 0 5 COUNTY OF RIVERSIDE / CONSTRUCTION ESTIMATE NO. ; ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. CAR P. WALK A S—C, ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS Date //�� / ; ✓/ SO. 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 Plumbing Fee Dbl $ _GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Pion Checker 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. @ 4 BATH TUB SO. FT. @ a WATER HEATER City Zip S0. FT. RESID @ 1 t%c SEWAGE DISPOSAL /(7ofr% �f G+ . V-•�!/,f/! •'J S0. FT. GAR @, 3/44 HOUSE SEWER t Trees re Se a System �J 'Address GAS PIPING f PERMIT FEE PERMIT FEE PERMIT FEE + DBL. L4� MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE - CON$At E ELECT. FEE �7 -I-, SMI FEE 'Osl FEE PLUMB. FEE PERMIT NO. 4138 0 5 lob Add, Spac Zip 2,7 /" O / �� 17 Pr 4rr(/ (.i �� ,�c� 'S Owner SCo�rT Communitny �7/ ��(�•' �" alua ion QG $ Date //�� / ; ✓/ /D''�tt / / Off. F.C.C. 01/ MH Permit Fee $ Micro Film Fee Cop $ Use o Permit j/ Parcel No. Use Cose No. / Ck. B Mech. Fee Dbl $ Pi. Ck. Fee S Set Backs Lot Size Construction Fee Dbl S Legal Description / J % �G� / X,2 F S SIR (/ Electrical Fee Dbl $ Zone Reesyyytrict' s Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. S Plan No. r13 Pion Checker Final Date —2 Inspector Unit Sp. Insp. Fee 5 Demol. Fee $ Const. Lender Branch Supplemental Permit Numbers , Registr- Fee $ Mileage Fee Address � � City � t Zip . I Witness Fee . - 4 � Reinsp. Fee $ ( ,Owner gent f Tel. Zip Total Fees $ Addre � r City Zip M.O. Q N.C. Q Cash Q Check Received bContr y /(7ofr% �f G+ . V-•�!/,f/! •'J Tel. 7 � �. LL''��cJan y//� ✓ g7 Trees re Se a System �J 'Address City � - Zip T LL. '�7 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 �7 THEE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. G/C/f_�/•f�'y'^SE CE"HAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. 1/80) A A CE WITH SECTION 5541 OF TFE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. DUILUIrAv rcxmii , PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD DST 4 13 8 05 COUNTY OF RIVERSIDE ,I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE5 i 1ST Fl. 2ND. FL. POR. GAR. CAR P. - WALL + s :JG s' /� Ab ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS �t SQ. FT. @ YARD SPKLR SYSTEM _ SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ 1! si: URINAL VALUATION $ —• WATER PIPING NOTE: Not to be used as propetty tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER ,VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) h APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Gro/up 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. @ a BATH TUB ' SQ. FT. @ a WATER HEATER 'Address ? City Zip 50. FT. RESID @ 1 t%a SEWAGE DISPOSAL } $ S0. FT. GAR @ Y44 HOUSE SEWER y Zip GAS PIPING PERMIT FEE PERMIT .FEE PERMIT FEE J DBL pTQTV3 MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE C�ONyF, E ELECT. FEE SMIFEEE` FEE PLUMB. FEE T LL r 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 ACCORD'ANCE.WITH P THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. �' _ C�Ejj6i1«T'HAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS,HAS d E SLO IN Form 284208 (Rev. 1/80) �A�j WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THEiSTATE'OFICA1IFORNIA. verified by: ��A �, " Job Addre - -- ,, Spec Zip � �-'��� �-��- kr/ -Owner PERMIT NO. 413 8 0'51*.. Communiitty �V / �` oluotion $ Dote /DD''st., .I / Off. r ,N,:d4'[ F.C.C. 1 MH Permit Fee S Micro Film Fee Cap S Use o Permit j� Parcel No. Or 1 f Use/Case No. Mech. Fee Dbl $ Pl. Ck. Fee $ Set Becks Lot Size Construction Fee Dbl S / r.. Legal Description r ��✓��1�'�•'. !(> �` / 4 000JJJ F S /'�'7 S^7 /_` (y � ye� Electrical Fee Dbl S Zone Rgggstricti s /, Gro/up Type SMI Fee S ,� Plumbing Fee Dbl $ Bond Amt. $ Pion No. Plan Checker Final/D.2!G!� � Spector v ,_ leg Unit O - Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch Supplimentol Permit Numbers ' Registr. Fee ? $ Mileage Fee 'i $ ,` /'Address 'Address ? City Zip Witness Fee $ Reinsp. Fee $ Owner/ gbenr. ( ,r f R --2'\/)!% PAIJL+J S7 �„ Tel. Zip t. Total Fees S ! Address �^' r City Zip M.O. E] N.C. ❑ Cosh Check Received by Contr or Tel. �'n L' In Trees rem Se e 5y stem rn� • ° t,l V 'Address // �� '..• eft` �1.�7f �(9 "oZzllf7 City Zip T LL r 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 ACCORD'ANCE.WITH P THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. �' _ C�Ejj6i1«T'HAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS,HAS d E SLO IN Form 284208 (Rev. 1/80) �A�j WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THEiSTATE'OFICA1IFORNIA. verified by: ��A NO. OPERATION DATE INSPECTOR NO. OPERATION DATE s� ''INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back Z �^ 33 Ventilation System 2 Ftgs & Frms jr2 -7- ^ V a 34 Plenums & Ducts 2A Slob Grade _ 7 7 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 n 10A Fireplace T. 0. °o _______��.a_. ADDITIONAL INFORMATION __._._.__-__._.�,_.__._ t SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final T PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents IF 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/ r ` 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME n r 14a-- LCG m 151. F-socso e r' F; LNJ 7,3- 3:30..:-rAK4r7l(,V., Lel :.il�.l .�'"`�•'` OME REAR YARD --------SOT AREA ---PARKING a ------DATE RECORDED — rd OAG -- _FRONT YARD �dzpT BLDG. % a?_SIDE YARD OF LOT COV'D. 1 1--=a6.UKTE —SES' A, 1 10VED BY:- LAND Y:LAND USE DIVISION 14a-- LCG m 151. F-socso e r' F; LNJ 7,3- 3:30..:-rAK4r7l(,V., Lel :.il�.l .�'"`�•'` OME REAR YARD --------SOT AREA ---PARKING a ------DATE RECORDED — rd OAG -- _FRONT YARD �dzpT BLDG. % a?_SIDE YARD OF LOT COV'D. 1 1--=a6.UKTE —SES' A, 1 10VED BY:- LAND Y:LAND USE DIVISION f�J ' I 13 zi-Av i .3 to 10 i m i m x dpi ta, 01 }A� 6 —1 ' J1 j � � f. lig m ... . _.... �. • -i I' 7 �* v ---- . in IF1 II -Tai, I t - rc-i Fac, T�xn of 1c)1 y I • ' - COUNTY OF�-RIVERSID® • DEPARTMENT OF BUILDING & SAFETY ` APPRO Approval of these plans shall of be cans}rtr' r e permit for, or an approval of, any violation `fy�to b° fhe rovisions of the state or county laws. TPPigt of f �oPans must be kept on the: iob until. Somoilm" S X NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199 9/70 CANARY—FILE, PINK—APPLICANT .vera Owners rh _ '7 .Architect Contractor'- �- t a +✓.?'! 1 Addressl; " 7, -' S'tJt AAddress Address CityL,1 �,�y ){ i -(ti\. (.-4 City— City - Phone Phone Phone - - — W 1 (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 1 (we) have complied with all laws of the County of Riverside and the State of California governing said property. DATE 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. U ISPACE NO. 1 USE OF STRUCTURE JOB ADDRESS �- �' � 1� N IG FAMILY\] DUPLEX >- Z t- 0 LEGAL DESCRIPTION OF PROPERTY"r ` / �+ /�� APARTMENTS AGRIC. El H ul:'^ 42z !' COMMERCIAL INDUSTRIAL n U % Z COMMUNITY �V / r �� NO. OF SUBMITTED PLANS --_ USE OF PERMIT Si�iC� l� %�EC-./lJ pTC ALTERATIONS [] CASE NO. PI) e.4 4=- X C Z NO. OF P KING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --- J ZONE SETBACKS: FRCP T SIDE REAR ��e- m GRADING PERMIT REQUIRED? Y;ffES ❑ NO ❑ LOT SIZE ' G SETBACK ORDINANCE II ! OF FEET REQUIRED ON REET DATE SIGNATURE OF LAND USE OFFICIALrj 042 0 _ t— DEDICATION, REQUIRED: YES ❑ NO ❑ NO. OF FEET__—. CURB AND'tGUTTER REQUIRED: YES ❑ NO ❑ STREET W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ • NO ❑ at DATE _ SIGNATURE OF ROAD DEPT. OFFICIA1 _ SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT • _ 0. ~ /� WATER POLLUTION R K S ,FLOOD CONTROL AIR POLLUTION . W V ' DIV OF HWY r YOUR PROPERTY MAY BE SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/70 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNT, OF RIVERSIDE PERMIT N 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 lass S I _�� Licen.e No. 3 ��/ �� Datek-[�4A)-� `/ Contracto e7 -h^ 1e / / �S� e- itrJVX� _ Y4 1UWNtK-8U1LULR UELLAKA11UN I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: 0 '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 , 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. Insurance 0 Certified copy is hereby furnished. EJ Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant 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 wox_k�or which this permit is issued, I shall not employ any person in any manner so as to become/subject to a Worr!prs' CompepsationAws of California. I further understand that if after ma 'ing this rti it t�e//Of Exempt/ion, I �shoul become subject to the Workers' Compensation provisions of the labgr c1de I m st f rthwith c mply 9th such rovisions or this ,p�rmit shall be deemed .revok d. Dated uA� ) 2499 tW 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.) [� 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 certif I havp_,read tpis•application and/state that the information given is correct. I agree to comply w 'th all stateaws and county ordinances relating to building construction, and authorize a representative of, the County of�Rj4ersi e, Department o Building and Safety to enter upon the pro- perty,ofor which I. hav applired for thi permit forlthe purpose of making inspections. ,, �_V9 . / A � l 4a/ • _ignature of ADDl scan gent j Date i..' •' � � T l_ �`fQc3400 \ n4 r nt pplicant/Agent Name - 284-2000 7/80