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427448 (PLBG)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DS 427448COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Zip �, f YARD SPKLR SYSTEM SQ. FT. @ Com nity MOBILEHOME SVC. BAR SINK SQ. FT. @ SQ. FT. @ POWER OUTLET ROOF DRAINS DRAINAGE PIPING SQ. FT. @ Dist. l / DRINKING FOUNTAIN SQ. FT. @ F.C.C. SQ. FT. @ URINAL Micro Film Fee VALUATION $ WATER PIPING Use of Permit /'� ( / �'�� q� �+ ( NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN No. MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Set Backs VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Legal Descriptiot. f" �rG ( -J �.. (� APPLIANCE DRYER GARBAGE DISPOSAL Zone Restrictions FURNACE UNIT WALL FLOOR SUSPENDED Type LAUNDRY TRAY SMI Fee E AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Plan No. ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM LAVATORY Sp. Insp. Fee $ HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB Registr. Fee $ SQ. FT. @ c WATER HEATER Witness Fee $ Reinsp. Fee - S0. FT. RESID @ 1114 c I SEWAGE DISPOSAL A0 501 S0. FT. GAR @ '/ c HOUSE SEWER Zip Total Fees $ GAS PIPING ( 14, PERMIT FEE PERMIT FEE PERMIT FEE Received by DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FE PERMIT NO. 1427448 1 Job Address _ - - - e • Space Zip �, Owner - Com nity t v P9 Valuation is Date j /` ` C! C� ..� Dist. l / Ofd,• /- F.C.C. MH.Permit Fee E Micro Film Fee Cop $ Use of Permit /'� ( / �'�� q� �+ ( `.; /•yam ��/+-' ,j� ,Q. v� ` (,l' I /(/ f(J,� 7 0. r .. / -/ / ^ ` q Use/Case No. Ckl4y Mech. Fee Dbl $ Pl. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl E Legal Descriptiot. f" �rG ( -J �.. (� F S S R Electrical Fee Dbl E Zone Restrictions Group Type SMI Fee E Plumbing Fee Dbl $ Bond Amt. E Plan No. Plan Checker Final DoteInspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Suppliment Permit Numbers al -4i Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee - $ Owner/Agent Tel. Zip Total Fees $ Address _a JA ( 14, City Zip M.O. 0 .C. Cosh Check Received by 1, - Contractor y .`'�) t •• IL .. ILL Tel. / j License# YYA Trees required f Sewage System S_ Address i City Zip T LL P 'i Sewer District I Form 284-208 (Rev.8/78) @s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 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. pry` �'fru.^�sw.tr-�--+-•�:�+�=awn._aid.-�re4�:+.e,�i-r�i..r-rem—....c.-..,a.-.-:a..--:a.w..-.,.�...,.�.www-,..,..Y..a....i�..e.:+w.�..l...:i. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR 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 & 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. C] 43 Final 10A Fireplace T.O. P' ADDITIONAL INFORMATION 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 PLUMBING APPROVALS 15 Ground Plumb 16 Water Piping 17 Rough Plumb 18 Vents 19 Sewage Disposal z 20 Sewer 21 Water Heater 22 Watei Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L.Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS ry J � C h 7 P/L �(' P/ 6' 26 Power Pole 27 Conduit 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 OFFICE DATE TIME PERMIT NUMBER 2.-a6 a3 INSPECTION ADDRESS 5I-$35 lA�� OWNER BUILDING PLUMBING REMARKS OWNER/CONTRACTOR TEL.NO COMMUNITY ELECTRICAL SPACE NO. I I MECHANICAL REQUESTED FOR: A.M. P.M. F-1 MON El TUE S WED THUR FRI 284-6 tl/I5. NOT:CE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT f Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner `} I a, t-- \%I Architect —_ Contractor4,E� Address f -f e Zw—_ Address___— Addres4_13_0_,,__U_ City 1. r�t�1-I,;;,T 4 City_-- City�����1��� Phone + Phone oC 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 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 I (we) have complied with all laws of the County of Riverside and the State of California governing said prop t . DATE G��—---=� -- 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. I USE OF STRUCTURE --�, I rLEGAL JOB ADDRESS /= �� ,-47/l/� /T SINGLE FAMILY DUPLEX [l 1l� ���_ Z W DESCRIPTION OF PROPERTY ' APARTMENTS AGRIC. /a O .01 �--I N .4 COMMERCIAL INDUSTRIAL LJ j '^ o Z COMMUNITY ALTERATIONS [� NO. OF SUBMITTED PLANS USE OF PERM��V� ��z�� ��/ �—� uj a G �G 4, "y CASE NO. , 4x, t7 T p Z NO. OF P__A,R!�KKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING _ Q0 ZOI ��SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK OR NAJ" E # OF FEET REQUIRED ON TREET DATE SIGNATURE OF LAND USE OFFI DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__ W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET H oc a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D IMPROVEMENT? YES ❑ NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOL S PUBLIC Q W SEWAGE DISPOSAL I>\ ,�P� a \ S�sX� ��� a C C t l l �a JC f' FOOD ESTABI ISHMENT fY•R� �j .�—_�jY (Y�4.� �•C\C�' f y'fZ r���. �l � u_``�, " = O WATER POLLUTION REMARKS FLOOD CONTROL H zAIR POLLUTION _ DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO a LU • FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Effective July 1, 1980, Chapter 1301 Section tion of the following applicable declarations print or type.and.sign below;. APPLICATION CERTIFICATE PERMIT N 19825'of the Heilth and Safety Code requires the execu- prior to the issuance of a building permit. Please [� LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 Division 3 of the Business and Professions Code and my license is License—Class C..... Date I hereby affirm that License No OWNER -BUILDER DECLARATION (commencing with Section 7000) of in full force and effect. 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.). Q I am exempt under Section Date Owner B:&P.C. for this reason: a 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. Insurancef—/ T� /�I(r"r �() ).fA [� Certified copy is hereby furnished. Certified copy is filed with th -County,, of R,iiv/e+side, Department of Building and Safety. Date"—'a�% ApplicantZl(d� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if permit valuation is for $100.00 or less I certify that ,in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. I further understand that if after making this Certificate of Exemption, I should become subject to the Workers' Compensation provisions of the labor code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Date Applicant CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097, Civ. Code). Lender's Name Lender's Address DIVISION OF INDUSTRIAL'SAFETY PERMIT CERTIFICATION [� I hereby certify that no excavation five (5) or more feet in depth into which a person is re- quired to descend, will be made i6 connection with work authorized by this permit, and that no building, structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2, Sec 341, Title 8, C.A.C.) As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from that division. 0 Division of Industrial Safety Permit No. Date Applicant CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY I certify I have read this application and state that the information given is correct. I agree to comply with all state laws and county ordinances relating to building construction, and authorize a representative of the County of Riverside, Department of Building and Safety to enter upon the pro- pert�y for whit I have ap�p1J�/e�dwfo—r this permit for the purpose of makif g,inspections. .. r�/~ ignatu?e of pp scant/ gent Date 00; mac- CtJ �� Print Applicant/Agent Name 284-2000 7/80/(! ., a k�. sa -IaTi+ _. .Ili �.. - _..�_.. .....�... - w �4�•: .i' ... .i1 . . S.s_ ., �.$s... _: �':. ..ih .. r.. ..'L.i. .. .. ... .,. BUILDING PERI PERMIT NO. 42744 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ 2ND. FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING PERMIT NO. 427448 NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN _ 05-�/ ,2 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER MH.Permit Fee $ VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Use of Permit t f f C.. � / tt /'�•4G F,✓e �. I Cit" APPLIANCE DRYER Use/Case No. GARBAGE DISPOSAL Mech. Fee Dbl E FURNACE UNIT WALL FLOOR SUSPENDED Set BacksLot LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK S ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM LAVATORY Dbl E HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER Plan Checker BOILER B.T.U. SQ. FT. @ C BATH TUB Sp. Insp. Fee E Dental. Fee SQ. FT. @ C WATER HEATER Const. lender Branch Supplimental Permit Numbers SQ. FT. RESID @1'/.0 SEWAGE DISPOSAL Mileage Fee y Address City Zip S0. FT. GAR @ s/. C HOUSE SEWER $ Owner/Agent Tel. GAS PIPING PERMIT FEE y PERMIT FEE PERMIT FEE DBL. TOTALFEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FES_ 4 5(a T LL P Sewer District Form 284-208 (Rev.8/78) as THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 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. Job Addrpss `/_ Space 'P 1�w_5� 11 Q ner PERMIT NO. 427448 Comm nityj /�J+ f j r ` ��� i �� 1 Valuation $ _ 05-�/ ,2 Dist. /// f_014,F.C.C. 4 MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit t f f C.. � / tt /'�•4G F,✓e �. I Cit" A%, No. t � Use/Case No. Ck, y Mech. Fee Dbl E PI. Ck. Fee $ Set BacksLot Size Construction Fee Dbl S Legal Description F S S P110-p Electrical Fee Dbl SZone Restrictions Type SMI Fee $ Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date Inspector Unit Sp. Insp. Fee E Dental. Fee $ Const. lender Branch Supplimental Permit Numbers Regist, Fee $ Mileage Fee y Address City Zip Witness Fee E Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees y Addres / City _ R Zip M.O. C3 42b Cashn Check Received by Contractor ,{ �t/ ,` (/'` , A)J r I <- f � CJi`01.� 4.— 11�J� Telma ^� J i 17 �1. / License# Trees required Sewage System Address City Z T LL P Sewer District Form 284-208 (Rev.8/78) as THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: 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 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.