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418288 (RPL)PERMIT NO. A DEPARTMENT OF BUILDING & SAFETY DST 4 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST EL:` 2ND. FL. ' POR. GAR. CAR P. WALL SQ. FT. @ $ UNITS Dist. 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 + ,//ff�/"- SQ. FT. @ �--GTIMATE CONSTRUCTION VALUATION $ v URINAL WATER PIPING inn NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM C�e WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Demol. Fee E GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Registr. Fee E 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 cess ..- gn SQ. FT. @ c WATER HEATER SQ. FT. RESID @ 1'/4 c SEWAGE DISPOSAL SQ. FT. GAR @ '/4 c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES .3 .MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ECT. EE �� SMIIffEE FEE PL MB. 1 PERMIT NO. I Job Address Space a Zip Owner 4 CommunityValuation /d Date (L» j Dist. Off. F. =. C. �1 MH.Permit Fee E Micro Film Fee Cop E `Use of Permit r� r (/ 'Pcircel � v 4- , j � / +l Legal Description f / No. Use/Case No. "'— 1Ck-6y Mecli. Fee -• Dbl Et�}� Ale ; .Pl. Ck. Fee EYY .. !t Construction Fee Dbl E / et Backs "j4 Lot Size F S S R 4 "Electrical Fee Ob1 E SMI Fee E Tore Restrictions Group Type Plumbing Fee Dbl E g Sp. Insp. Fee E Bond Amt. E Plan No. Plan Checker Fi I Date /f pector _ Unit Demol. Fee E Const. Lender Branch Supplime t ermit Numbers 0 Registr. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip Total Fees E t. _. M.O. N.C. CashCheck' A ess City Zip Received.by r -Contractor/ Tel. License# Trees required. Sewage System ' cess ..- gn City Zip .1 T LL P 4 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified bi. Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. a" Irv" 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 REBY CERTIFY THAT THE INDIVIDUAL WHO AEPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) @s RICE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System �+ 2 Ftgs 6 Fims 34 Plenums 8 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. 43 Final 10A Fireplace T. 0. NO ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE 8 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 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 25 Gas Test Final Tank it L.Line PSL REAR OF PROPERTY LINE _ h �lES L. P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service EntranceS 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 FinalC-T-q�T LIW 7q," STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199 9/74 r CANARY—FILE, PINK—APPLICANT Owne4&pzd RP' '(o'f�+:it1L- Architect Contract q (t/l'�/� '1 ,�j Address5"�-,117_o&OXLII T ddress- Addressl�Lo /gyx ! ,511, 3 CitylYq (Qyl i4I City city- `76! 0l0.a! . OLC!Z- Phone r /_ .1_1..�5�_ Phone Phone ;tl7 =. ;P l 157-0 - W I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and 1 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 Owithout � an encroachment permit. t . NOW, therefore, it is agreed that I (we) will not occupy said property andwill not cause said property to be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governg 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. SPACE NO. 1 USE OF STRUCTURE 4� D!T I JOB ADDRESS r0 //r lOJ!/)ll��['�(j' _- SINGLE FAMILY DUPLEX �. Z W LEGAL DESCRIPTION OF PROPERTY ► s% !7 �* �- � ,rye r';�!! `y� ,,�� - + APARTMENTS Ej AGRIC. ❑ �� Z '-44OMMERCIAL H Q '^ --�' _�3r df &'s�,r INDUSTRIAL n '�- COMMUNITY + ALTERAf.IONS Ej Z NO. OF SUBMITTED PLANS ---_ USE OF PERMIT .erg f'r CASE NO. i� p Z NO. OFpPARKING SPACES REQUIRED — ® NO. OF BUILDINGS NOW EX PING -- Q ZONED '" SETBACKS: FRONT SIDE REAR :5 m GRADING PERMIT REQUIRED? YES 0 NO ❑ LOT SIZE SETBACK ORDINANCE # -- OF FEET REQUIRED ON En STREET y DATE—_MZ�" °`;,� SIGNATURE OF LAND USE OFFICIAL . -eA,4 F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___ CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET O C IMPROVEMENT? YES ElNO ❑ °L DATE __ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC SEWAGE DISPOSAL FOOD ESTABLISHMENT 3 WATER POLLUTION REMARKS �n FLOOD CONTROL I z AIR POLLUTION DIV OF HWY o a — YOUR PROPERTY MAY BE SUBJECT TO o. oFLOOD. RIVERSIDE COUNTY ASSUMES �- 41 NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 r 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. 0 LICENSED CONTRACTORS DECLARATION `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(" _ , %� License�,N6, Date �Ot ContractoA ,�c4 e�-2:o `- l —• 0 OWNER -BUILDER DECLARATION 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.). [� I am exempt under Section B.&P.C. for this reason: Date Owner. I�..AI WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Workers' Compensation Insurances, or a certified copy thereof (Sec. 3800, Lab. Code). 6 Policy No. � �O �� - S_ Insurance Certified copy is hereby furnished. n "alkCertified copy is filed with the ,C,,,o,.,,,uGnnty of Riverside, Departme/n:t�of Building and Safety. Date ' /"App1icant4PU_iuZW-'e-- 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 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 0 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.) [] 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:, ynless 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 complywith all state laws and county ordinances relating to building construction, and authorize a representative of the County of Riverside, Department of,Bui�lding and Safety to enter upon the pro- p/e/ri%yyfo�rjwh`ich I have ppl`iedd ffoor> this perm/its."`f'oAr'.the purpgse of making inspections.. Signature of' pp scant geentt Date rent pp scant/ gent Name 284-2000 7/80 n OYILYIAV VERMIN PERMIT NO. 4.1828� DEPARTMENT OF BUILDING t& SAFETY FIELD OFFICE M COUNTY OF RIVERSIDE lAt CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. '`CAR P. L ESTZE CONSTRUCTION SQ. FT. @ $ UNITS t. F7/;), 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. @ 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 Unit, y GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Const. Lender Branch 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 Trees required SQ. FT. @ c WATER HEATER City Zip 42,2"o SQ. FT,. RESID @11Ac SEWAGE DISPOSAL SQ. FT. GAR @ z/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE PL. -CK. FEECONST ELECT. FEE SME r FEE PLUMB. FE E,b . 41 PERMII8TT N��O}) Job Address Space Zip Owner om unity /-, Y. � � 71L,"' Valuation Date 1'6j!E10c9 f'- — 1- t. F7/;), Off. F.C.C. '� WH.Permit Fee _ $ Micro Film Fee Cop $ Use of Permit 4L��/"� �O c'3 Parcel No. 77 �% .•... Use/Gose No. Ck. By Mech',Fee Dbl $ Pl. CIF. Fee $ Set Backs Lot Size Construction Fee Dbl $ Electrical Fee Dbl $/jam, SMI Fee $ Legal Description //} 7 {\/'/'�� / (��ly — F S S 1115— Zone Res,/tri7ctions Pm — Group Type Plumbing Fee Dbl $ 14C, Bond Amt. $ Plan No. Plan Checker Final Dote Inspector Unit, y Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers Regisir. Fee $ Mileage Fee $ Address City Zip 7-1 Witness Fee $ Reinsp. Fee 1 $ Owner/Agent Tel. - Zip Total Fees is M. 0. N.C. Cash Check �- ,r �•f .r!�� •,jils"'' City ZiA Received by (;an I r a c I Tel.License# V —6 ?J-40 ' Trees required Sewage System Address City Zip 42,2"o T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified b;-.. 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. I REBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) ©s WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. -