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403694 (CPWU)BUILulrvU YtKMII u PERMIT NO. 4036 kPERMIT No. o 3 694 DEPARTMENT CF BUILDING & SAFETY COUNT`! OF RIVERSIDE FIELD Dsr CONSTRUCTION ESTIMATE ISO. ELECTRICAL FEES NO. PLUMBING FEES 1ST Fl. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. .@ $ UNITS V tin S ,f SO. FT. @ YARD SPKLR SYSTEM MH Permit Fee $ SO. FT. @ MOBILEHOME SVC. BAR SINK , SO. FT. @ POWER OUTLET ROOF DRAINS j SO. FT. @ DRAINAGE PIPING Parcel No. / Cesar Ndf.- et s' lot Size SO. FT. @ DRINKING FOUNTAIN, Mech. Fee D61 s SO. FT. @ URINAL r VALUATION $ WATER PIPING NOTE: Not to be used os property tax valuation SWIM POOL, PVT FLOOR DRAIN < MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER '6 VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) r APPLIANCE DRYER Plumbing Fee Dbl s 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 Demol. Fee $ COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER Mileage Fee $ BOILER B.T.U. SO. FT. @ c BATH TUB Owner/Agent SO. FT. @ a WATER HEATER 3 •Zip { S0. FT. RESID @ 1 t/<c SEWAGE DISPOSAL Address S0. FT. GAR @ 3/44 HOUSE SEWER City Zip ;. M.O. ❑ N.C. EjCash.O Che _� i GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE �'lv_,}m DBL. TOTAL FE MOB. HM. FEE MICRO'FEE MECH. FEE P-.. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PBg�FjiE✓j1�] u PERMIT NO. 4036 - lob Address " - -_ - - -- Space Zip - Owner t� Community (\ In I -A V tin S L L F.C.0 , MH Permit Fee $ Micro Film Fee Cop S Use of Pe mi t k Parcel No. / Cesar Ndf.- et s' lot Size Ck. By ,,. ' Mech. Fee D61 s PI. Ck. Fee s F 5 S R Construction Fee Dbl S Leg A icr$Wn y j '6 Electrical Fee Dbl S Zone Restrictions Group Type V r SMI Fee $ Plumbing Fee Dbl s Bo d mt.jkjh'ffo.—• Plaa Ch ck F Final Dotel In ector Unit Sp. Insp. fee $ $ 10-19 Demol. Fee $ Const. Lender Brom°h Supplimental Permit Numbers ' 4 ' Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. •Zip { Total Fees S .,i t Address City Zip ;. M.O. ❑ N.C. EjCash.O Che _� i �`•-^ Received by �'lv_,}m . `•w.,. Tel. Licensen ' . w Trees required Sewage System Addre `` - r City ,J _ Zip,^ t �1 i ^i�i�� r'. �:• li_ , r � T LL %P U `THIS PWITNSRXLL BACbA1rVbIJ IF *CiRK 1S NOT COMMENCE D=VAfHI1N11Tf-JDA,)Sj 06$SATI(3t4�5FT•WoW Sewer District - FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. . / •1 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/,•��) THEREBY CERTIFY THAT THE INDIVIDLAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev. 1/80) NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIOIJS'CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPCTOR tt BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs $ Frms 34 Plenums & 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. 0 43 Final 10A Fireplace T. 0. 0 °O. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Internal Loth .12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 12C Ceiling (Blown) 14 Final 4. _ .PLUMBIPLG.AP_P_ROVALS 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 10 100 25 Final�O_ �� Tank Pit L. Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/l p q P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B �onding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATIDN TO CONSTRUCT Permit No DEPARTMENT 0- BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT ,ice Owne RS ja. Architect— _. _ Contracto —_— _ AddressJJJe7 + J� Q�_ Address___ AddresA 4 --ii F "'� �_4 Ci tyL4_ (%i^tfA�_C� City-- - C i tylkiD_t O—sL—�- -- — Phone KL00 Phone _ Phone_t7�7_�L1—.—_._ ce 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 requirement=_ 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. 4 DATE -�-�— SIGNATURE OF OWNER AND/OR AGENT - - Approval by Signature from the Following Departments Listed Below Must Be Obtained Frior to the Issuing of a Construction Permit. a :2 SPACE NO. USE OF STRUCTURE r � � � JOB ADDRESS 7� �,' D SCRIPTION OF PROPERTY 712-3 77��� / G/�-L L� a SINGLE FAMILY DUPLEX Z LEG / ! APARTMENTS AGRIC. O Q — __- —C� COMMERCIAL INDUSTRIAL • COMMUNITY r ALTERATIONS ❑ _ ONO. Z r OF SUBMITTED PLANS USE OF PEFSMIT — Q CASE NO. O � Z NO. OF PARKING SPACES REQUIRED _— — NO. OF BUILDINGS NOW EXISTING - Q 0 ZONE4 �',�_SETBA(�KS: FRONT SIDE REAR J D GRADING PERMIT REQUIRED? YES ❑ NO :D LOT SIZE SETBACK ORDINANC }Y -- OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIAL - DEDICATION REQUIRED: YES ❑ NO ❑ NCI. OF FEET— F- W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET i cc cc a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W c HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O ce DATE SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS vt FLOOD CONTROL f. • W AIR POLLUTION W DIV OF HWY c a YOUR PROPERTY MAY BE SUBJECT TO — c FLOOD. RIVERSIDE COUNTY ASSUMES' NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE , COUNTY 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 Cod? and my license is in full force and effect. License Class C- 3 License No.Q-7-3p 09 Date 16 0,10 Contractor V 141.4 pt4 LtIU.t i'/,A) CO - M OWNER -BUILDER DECLARATION I hereby affirm that I amexempt 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;'8.&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 �12�^ Owner —r Q WORKERS' COMPc_NSATION DECLARATION I hereby affirm that I have a certificate of coisent to self -insure, or a Certificate of Workers' Compensation Insurance, or a certified copy the-eof'(Sec. 3800, Lab. Code). Policy No. 5,Ql;Z84- gD Insuran:e 51A-fe �JN_P Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, -Department of Building and Safety. rr Date (D f,� Applicant V a m4 )I nX Q CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed -f permit valuation is for $100.00 or less.) I certify that ,in the performance of the work fcr 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 labcr 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. Codi'). Lender's Name Lender's Address DIVISION OF INDUSTRIAL-SIFETY PERMIT CERTIFICATION Q I hereby certify that no excavation five (i) 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, falsewor;, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Cha) 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 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- pe,;rtyffor whicV have applie& for this permit fcr the purpose of making inspect'ons. </�'V� 1 �. `r A I R 10 [ �f C Fa i9hAtu"re —0y Y `pp cantJA eh Date Print Applicant/ gent Name 284-2000 7/80 DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OF FI ,E DATE TIME PERMIT NUMBER �N& INSPECTICN REQUESTED ADDRESS ',SPACE N0. FOR: A.M. OWNER COMMUN Y i0 ❑ PJA. BUILDING PLUMBING ELECTRICAL MECHANICAL yv� PON 2 TIES a WED REMARKS: � � � - ��THUR FRI OWNER/CONTRACTOR TEL.NO. 2fl1�► N/�! BUILDING PERMIT PERMIT NO. 4.03.694 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE usr COUNTY OF RIVERSIDE , CONSTRUCTION ESTIMATE No.. ELECTRICAL FEES 'NO. PLUMBING FEES 1ST.FL. r--SQ.•FT..@ 2ND. FL.','—' POR. GAR. 'CAR P. • WALL - • ESTIMATED CONSTRUCTION $ UNITS • .. - 50. FT. •@� - YARD SPKLR SYSTEM SO. FT. @ •-• MOBILEHOME SVC. BAR SINK 50. FT. @ POWER OUTLET ROOF DRAINS', SQ. FT.' @' DRAINAGE PIPING • SQ. 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 $MI Fee S GARBAGE'DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED. Bond Amt. 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 " SQ. FT. @,. a WATER HEATER Demol. Fee $ `SO. FT. RESID @I %c SEWAGE DISPOSAL Branch S0. FT. GAR @ 3/4c HOUSE SEWER - Regisir. Fee ,. $ •- GAS PIPING' vf: PERMIT FEE' • °MECH. PERMIT FEE PERMIT FEE DBL TOTAL F.F�iK MOB. HM: FEE MICRO*FEE FEE 1L. CK. FEE CONST. FEE ELECT: FEE SMI FEE FEE P 61MB ,.�' PERNO_Job .403 N[r�(`• - `•' v Address `.'_"' Community `n vo - Space' i Zip- - -' Owner- to • .. - ati S - •. l - l MH Permit Fee - S Micro Film Fee Cop S Use of Permit - \ -• r or Parcel No. se/Case No: Set Ba s Lot Size Ck. By Mech. Fee Dbl - $ PI, Ck. Foe $ Construction Fee Obl S J./ Lega escrip ion - • / F. S 5 R Zone Restrictio Group Type . Electrical Fee Dbl S $MI Fee S Plumbing Fee Obl ,$ Bond Amt. n'No., Ron Checker Final Date9. l(x1•' I ector�- Unit Sp. Insp. Fee S S • ,t ".' V Demol. Fee $ Const. Lender • Branch Supplimental Permit Numbers' - - Regisir. Fee ,. $ Mileage Fee. $, - Address - City Zip Witness Fee $ Reinsp. Fee $ - Owner/Agent. - - Tel. -Zip, Total Fees - S Address y City Zip M.O Q N.C. Co,ED Che< 'Received by em s Tel. - ' License# Trees required Cr :rr, Sewage System `�,,, 1` Addres + r City .tip - • �� A / T LL P v . 'THIS PIT"IT SHALL BECOME VOIDSAF WORK IS NOT COMMENCED WITHIN'120 DAYS P CESSATION- OF WORK I 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 THELAWS .OF RIVERSIDE COUNTY�OND THE STATE OF CALIFORNIA." •. I ER CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS•AND SPECIFICATIONS HAS DONE SO IN AC C NCE WITH SECTION 5541 DF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ' Form 484.208 (Rev. 1/80) «,