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426879 (ELEC)BUILDING PERMIT PERMIT NO. 426879 CONSTRUCTION ESTIMATE I ST FL. SQ. FT. @ $ 2ND. FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. @ SO. FT. @ Q@ $ ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM FAN EVAP. COOL HOOD APPLIANCE DRYER FURNACE UNIT WALL FLOOR SUSPENDEE AIR.HANDLING UNIT CFM ABSORPTION SYSTEM B.T.U. COMPRESSOR HP' HEATING'SYSTEM FORCED GRAVITY BOILER B. T. U. PERMIT FEE DBL. TOTAL FEES DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO, I ELECTRICAL FEES UNITS - MOBILEHOME SVC.. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN IDLE METER TEMP USE PERMIT SVC POLE,TEMP/PERM AMPERES SERV ENT SQ. FT. @ C SQ. FT. @ C SQ. FT. RE SID @1 1AC SQ. FT. GAR @ 31A t PERMIT FEE HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE FEE V FIELD PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO)(DISH) GARBAGE DISPOSAL' LAUNDRY TRAY KITCHEN SINK WATER CLOSET LAVATORY SHOWER BATH TUB WATER HEATER SEWAGE DISPOSAL HOUSE SEWER GAS PIPING PERMIT FEE SMI FEE I FEE 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 C7reQ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final SEWAGE SYSTEM SIZE & LOCATION Tank Pit L. Line REAR OF PROPERTY LINE �a P/L P/L s STREET NAME PERMIT NO. I42-6 Job Address •- v Space Zip Owner 10 P PIC, Community Valuation Dote, V Qisi. Off. F.C.C. MH.Permit Fee' $ Micro Film Fee Cop $ Use of Permit - a., `� rJ � � Parcel No. r"' /S Use/Case No. Ck. By Mech. Fee Dbi $ PI. Ck. Fee $ Set Backs Lot Size ' Construction Fee Dbl $ " Legal Description •' ` .. f �•.., I, /�!j ;,,_fit• fi ,.1 -f� "1 v V llir 4.."' fl`... F aj S �� S "sr� R ,., Electrical Fee Dbl$ .�i:� Zone Restrictions -�` Group Type SMI Fee $ - Plumbing...Fee Dbl $ Al/ i ,r� Bond Amt.' $ Plan No. Plan Checker `� FFii(�I Date,/ `s� In-�^e-ctorr _ ``�'�✓ Unit. Sp. Insp. Fee " $ Demol. Fee* $ Const. Lender -. Branch Supplimentol Permit Numbers - Registr. Fee $ Mileage Fee $ , Address City - Zip Witness Fee $ Reinsp. Fee $ Owner/ en( .. � Tel. Zip Total Fees $ �; !"7 r Ad�%ss S •�L ! - Ciry Tp Y,• M.O.-] N.C. Cash Check Received by �.� Contracior ��;�, / � � , .(��.-•�j. A„/ •�.�... Tel. - ' License# ' Trees required Sewage System - T LL P` Address" + a City THIS PERMIT SHALL BECOME'VOID IF WORK IS NOT COMMENCED WITH IN'120 DAYS. CESSATION OF, WORK verifiQl by: 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. COUNTN�-AND,TH€i STATE OF. CALIFORNIA.,,: t; 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. Sewer District NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back ,�� 33 Ventilation System i 2 Ftgs 8. Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets ' 4 Grout Blocks 37 Combustion Air 00-1 5 Bond Beams �// ��l J 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection DBvice 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. C 43 Final 1 1- 10A Fireplace T. 0. ADDITIONAL INFORMATION 11 Exterior Lath NO. /�,(, Cll/ ���` 7-101v k —� (� 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 I Final ,rY� p'tt PLUMBING APPR"' NOT:CE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY dF RIVERSIDE b DISTRICT + / J Permit No 284 199A� 9/74 CANARY—FILE, PINK—APPLICANT G p.C/ f�L� u�i� Gi/F�'�✓ . Owner C f/r Architect Contractor �7 yG ���UAddressj�%���/y �� Address����d Add — City_ ��/ City_ Phone S':;2 -1s1 17/-�fPhone 3 ^ -2, 2-e) _ PhoneD cc I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and^ W 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 R/ O zthCounty without an encroachment permit. NOW, therefore, it is agreed that 1 (we) will not occupy said property and will not cause said propert o.be occupied I have complied with all laws of the Countv of Riverside and the State of California governing said property. , O / DATE SIGNATURE OF OWNER AND/OR AGEN Approval by Signature from the Following. Departments Listed Below Must Be Obtained Prior to the Is of a Construction Permit. -suing V� C. C..G.- V SPACE N O. Ts(� p�j�f �.IJ ���• ��� USE OFZUCTURE JOB ADDRESS --_.—_ I - --'-�� v� y SINGLE FAMILY DUPLEX Z LEGAL DESCRIPTION 8 ROPERT �� v _ !�%/ ��Oek � tr— APARTMENTS � AGRIC. O LL in a --'— COMMERCIAL INDUSTRIAL n V 1 >_ C COMMUNITY ` �--1 /) ALTERATIONS LJ Z USE OF PERMIT NO. OF SUBMITTED PLANS - ,^ CASE NO. Z NO. OF�ARKING SPACES REQUIRED -- _ -- N0. OF BUILDIN SNOW EXISTING f s SETBACKS: Q � ZONE FRONT s SIDE — REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBA/C_K ORDINANCE # OF FEET REQUIRED ON STREET' V 36 _,/ DATE SIGNATURE OF LAND USE OFFICIAL _ -- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-_ W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET ccH a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET ' Q IMPROVEMENT? YES ❑ NO ❑ O o� DATE SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC F JW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS s rn FLOOD CONTROL t— W AIR POLLUTION V° DIV OF HWY YOUR PROPERTY MAY BE SUBJECT TO n"` FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A� 9/74 CANARY—FILE, PINK—APPLICANT ,' a:rv..swwtwsrST+r'•�. ..:C.,e°'n,�_.-w"'..y!3.Y w'" ,t�..Frw++��-s. '(::""Y7 7do�va..:9 "'9r *. �'fWHd•3"r "{x4{.;i: 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•' s 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 C_Gj_.W1 SSC 4C1.•L4 I License No. a.9 Date' 2,(-, ontractor . [� y OWNER -BUILDER DECLARATION I hereby :affirm that I am.exempt from the Contractor's License Law for the following reasons: Q 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.). [� 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. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant CERTIFICATE OF.EXEMPTION FROM WORKERS' COMPENSATION INSURANCE r (This section need not'be completed if permit valuation..is for $100+'00 or less.) j 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�txemption,I should -become subject to the Workers' Compensation provisions of the code, I must forthwith comply with such provisions or this permit shall be deemed .revoked. Date'/— —.30 — ?'/ 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.) 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. 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 stated awsjand county ordinances relating to building construction, and authorize a ta representive of th'e County of Riverside, Department of Building and Safety to enter upon the pro- perty or which I�haveiapplied for this permit for the purpose of making inspections. 33;dnSture oflADoiica"nt' gent Date / 284-2000 7/80 1 PERMIT NO. DEPARTMENT OF BUILDING 6 5AFETY r 'l. +' DST ' COUNTY OF RIVERSIDE •FIELD'OFFICE' 42&879 - CONSTRUCTION ESTIMATE NO.. ELECTRICAL FEES, NO. ,4 PLUMBING FEES . r IST FL. ', 2ND. FL. SQ. FT. @ t' $ UNITS- Owner ro � - PERMIT NO. 426979 t � SQ. FT. @ t YARD SPKLR. SYSTEM J r ... POR GAR. _ SQ. FT. Q MOBILEHOME SVC. /p+st. BAR SINK' ., SQ, FT. @ POWER OUTLET ROOF DRAINS Micro Film -Fee ' }CAR. P. SQ. -FT. @ ' " Jr WALL'.-, SQ. FT. @ T..: SQ. FT. @I • t ESTIMATED CONSTRUCTION VALUATION { ' Use of Permit' ' .0 F ! _ ! j DRAINAGE PIPING - DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Ck..By d FLOOR DRAIN dJ o 'MECHANICAL FEES { SWIM POOL, COMM. WATER SOFTENER £ �egol Description . } //1 Q . \ VENT SYSTEM FAN EVAP. COOL HOOD SIGN i! Electrical Fee Dbl is WASHER (AUTO)(DISH) Group APPLIANCE DRYER SMI fee $ GARBAGE DISPOSAL Dbl $ FURNACE UNIT WALL FLOOR SUSPENDED 'Bond Amt. ' $ Plan No. LAUNDRY TRAY .. Plan Checker ; AIR HANDLING UNIT CFM IDLE METER t, Inspec r .} . KITCHEN SINK •s ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT. SVC $ WATER CLOSET Const. Lender r - COMPRESSOR HP, POLE,TEMP/PERM - ! Supplimental Permit Numbers + - -.. - • ' - r i LAVATORY _ Registr. Fee $ HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT Witness Fee . $ SHOWER < r BOILER B.T.U. • SQ. FT. @ c, . BATH TUB >. I Zip .'''.Zip SQ. FT. @ -c Total Fees $ WATER HEATER d Received by SQ. FT. RESID @ I th c. SEWAGE DISPOSAL t - Tel. �� .. T License# SQ. FT.. GAR @ '% c. Trees required - HOUSE SEWER .+ Address r v. _+ GAS PIPING ei, SSU PERMIT FEE PERMIT FEE00 PERMIT FEE i' a DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH.'FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE - LL - P `''` .THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION -OF WORK verified by: L.. Sewer District FOR IM DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. c t ! + 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.' r I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED SHE PIANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE, OF CALIFORNIA. Form 284-208 (Rev.8/78) r i Job Address � �� f •. ,Space Zip Owner ro � PERMIT NO. 426979 t Community t •. / A : J r ... Valuation $ - f . Date yy�� j_. 90 +j? /p+st. Off. F.C.C. MH.Permit Fee E • - Micro Film -Fee Cop $ Use of Permit' ' .0 F ! _ ! j - jr' + Parcel No. - `' �l /tJ G. .4/ Use/Case No. Ck..By d Mech. fee Dbl $ - PI. Ck. Fee $ Set Backs Lot Size Construction fee Dbl E £ �egol Description . } //1 Q . \ , , 111 ~ V �•+i . 6•^•• .` F S� . S ` ` R J Electrical Fee Dbl is Zone Restrictions ( f Group Type r SMI fee $ Plumbing Fee Dbl $ !Aj 6P(i 'Bond Amt. ' $ Plan No. Plan Checker ; + Final Date a O l Inspec r .} . Unit' -. Sp. Insp. Fee $ . Demol. Fee $ Const. Lender r - Branch - Supplimental Permit Numbers + - -.. - • ' - r i .• �. Registr. Fee $ • Mileage Fee• $ Address Cit . Zi Y P Witness Fee . $ Reinsp. Fee $ Owner/ ent, ` Tel. _ ' City •, _ r - I Zip .'''.Zip Total Fees $ ess " +-. M.O. N.C.' Cash Check Received by Contractor •• 1 C, t+ �i / Y J +JJJ,`/ - Tel. �� .. T License# '• ,. . Trees required - Sewage System f .+ Address r v. _+ Cit LL - P `''` .THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION -OF WORK verified by: L.. Sewer District FOR IM DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. c t ! + 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.' r I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED SHE PIANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE, OF CALIFORNIA. Form 284-208 (Rev.8/78) r i