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403383 (BLCK)BUILDING PERMIT , . 1 DING 8L' SAFETY. FIELD OFFICE . osr RIVERSIDE .�' ' � ` .�..,�,., .:�..•t�y++-'-,:y ;^;.r..3.,«.+.Y.w.•isti.`ne•wr+.a}+.c: i ro'-4.-_...:y.. •h'�.. - K�••r:.; wl:?j--He'•.:.�swin+:.0 a>/�w?."•.•t.•n.1'r`ra+ ..s .«,. r;" PERMIT .NO.. PERMIT NO: *• DEPARTMENT' OF BUIL ,• Vi $pace "�• Zip r s' 403383' p COUNTY OF RI —) I L - 4 0 3 3:8.3 • Community Community Voluation CONSTRUCTION, ESTIMATE NO. ELECTRICAL TEES _ NO. PLOMBING*`FEES ; - n .1ST' FL $• SQ, FT..@ _ �• UNITS x. SQ. FT; @ L YAR D•SPKLR',SYSTEM' 2ND. FL. - SQ. FT. @ , -v.' ' MOBILEHOME SVC. .-• BAR.SINK t' POR FT. @�'- POWER OUTLET ., ROOF DRAINS •k, GAR. - ,SQ. SWFT::, @ ` , '• + DRAINAGE PIPING - - ` CAR P: SQ. FT. @ -• •�' .✓ - DRINKING FOUNTAIN, :. WALL. SQ.,FT. @ Micro -film Fee .. •Fees URINAL _ s VALUATION $ t + , .�� • ' •I DST WATER PIPING " ESTIMATED CONSTRUCTION NOTE: Not' to be, used as property tax valuation ; ''�•- - '• -• SWIM ,POOL, PVT FLOOR,DRAIN MECHANICAL .FEES swlM Pool, COMM - WATER SOFTENER "VENT SYSTEM •� ` FAN EVAP: COOL HOOD SIGN WASHER (AUTO)(DISH) ' APPLIANCE'S, •.}' DRYER '' •' GARBAGE DISPOSAL, ,FURNACE' : UNIT ' WALL FLOOR.: SUSPENDED ` • LAUNDRY TRAY `• AIR'HANDLING .UNIT - ' CFM, ,, - IDLE METER -' " t 'KITCHEN SINK -. - ABSORPTION SYSTEM B.T.U. .TEMP USE PERMIT SVC WATER CLOSET. , < COMPRESSOR,f ` 'HP POLE, TEMP/PERM LAVATORY CHEATING .SYSTEM. FORCED GRAVITY AMPERES •SERV ENT SHOWER BOILER B.T.U. SQ. FT. BATH TUB ' • -" -. SQ.'FT. @ a WATER HEATER S0." FT. RESID • @ 1'/4a' SEWAGE DISPOSAL ' . a , S0. R. GAR . @ s/4a. HOUSE SEWER . _ .. Bo -. .. .. GAS PIPING s PERMIT FEE - - Final'Oate �f� PERMIT4EE '� '- �: PERMIT FEE Unit TOTAL FEES.' MOB. HM. FEE MICRO' FEE MECH. FEE r PL YK. FEE '-;.CONST. FEE ELECT. FEE . SMI FEE FEE' PLUMB: FEE n -� D� K , .�..,�,., .:�..•t�y++-'-,:y ;^;.r..3.,«.+.Y.w.•isti.`ne•wr+.a}+.c: i ro'-4.-_...:y.. •h'�.. - K�••r:.; wl:?j--He'•.:.�swin+:.0 a>/�w?."•.•t.•n.1'r`ra+ ..s .«,. r;" PERMIT .NO.. '• *• Job Address {rJ -7 ,• Vi $pace "�• Zip r ; 403383' p Ij 071 L_:�. A —) I L - • Community Community Voluation Date Dut. Off. F.C.C. .� • S J' �' y z MH Permit Fee-�� S ,4' _ Micro -film Fee .. •Fees Cop' $ Use'of Permit ..© -' A C-�' t + , .�� • ' •I DST Parce No / • - . • - .Use/Case No. 7� /�' n g TTTI ••••'"' Ck. By Mech. .Dbl g r:f .. . PI. Ck. Fee S ', Set BSck, Lot Size . ' - - w �' Construction, Fee - Dist S Legal es ription - r - - F S , S R Electrical Fee Dbl $ Zone Restr' s Group P YP Type • - ,,•�/ ��yRBp/ - - SMI Fee Plumbing. Fee •'. DO S Bo -. - la N anJChecker Final'Oate �f� 'In�-ctor- Unit n -� Sp. Imp. Fee S - S Demol"-Fee S Const. Lender 'Branch - - S - Supplimentol Permit. Numbers. 1 •' rs •. ` - ,..s Registr. Fee. M lenge Fee S& Address - city ' Z P .y �� • �.. W t esi Fee ` <g Reinsp. Fee S O,ven y,q el. L., ` - > t. • Zip v. s. Tocol Fees - Address _: - -. -• City .. •Zip z/ ,- iki .Q v . :M.O. N.G. Cash . Check Receivedby. Controctor .- c. .. „-: s.,; - _ L. .. � 'Tel. 'k '� - s•. Licensee,, Trees: required ��Sw + t . t Se- age System 4,. \1 Address 1 ; r City , 1'p,• M r. T ' +' LL; P:. THIS PERMIT SHALL BECOME VOID IF WORK.IS NOT COMMENCED WITHIN 120 DAYS. CESSATION,OF WORK verified by t FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO -BECOME VOID. 0" ? 'Sewer District - ' - 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 OFCALIFORNIA . r •• - 's.. n a i - I CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 28420'8 (Rev,,,l/80) - t.' CORDANCE WITH SECTION 5541 OF -THE BUSINESS AND PROFESSIONS CODE OF THE 'STATE OF CALIFORNIA. -_.. .. ... ,.. _. ,..._.... .. _ spa. .. . _ BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 4 0 3 3 8 3 COUNTY OF RIVERSIDE FIELD osr b CONSTRUCTION ESTIMATE �' - NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL '� ESTIMATED CONSTRUCTION SO. FT. '@ $ -w er ►L_. UNITS ' �, SO. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ DRAINAGE PIPING �� y 1 •� SO. FT. @ -•"" /?r DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ % r WATER PIPING NOTE: .Not to be used as property tax valuation Set Bo:ks l SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Legal' aription ' sc rs ` i SWIM POOL, COMM WATER SOFTENER VENT SYSTEM !�. FAN EVAP. COOL HOOD Electrical Fee Dbl S)! SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER SMI Fee $ Plumbing Fee GARBAGE DISPOSAL FURNACE, UNIT WALL FLOOR SUSPENDED Bon -Amt. S 01.0 No. LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Demol. Fee TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP Branch POLE, TEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY Register. Fee $ AMPERES SERV ENT SHOWER BOILER B.T.U. Reinsp. Fee SO. FT. @ a BATH TUB OwneiH Z Lj r I V L,%. SO. FT. @ a WATER HEATER Zip SO. FT. RESID' @ 1 V4a SEWAGE DISPOSAL Address,' �" SO. FT. GAR @ V44 �l ' •s HOUSE .SEWER City / L•••.. :�t •/.� - M.O. N.C. Q• Cash Check Received by Trees required GAS PIPING-i PERMIT FEE f Contractor PERMIT FEE PERMIT FEE :DBL. TOTAL FEES V� MOB. HM. FEE MICRO FEE :!'•. '. MECH. FEE Pl. CK. FEE CONST. FEE ELECT. FEE ALO SMI FEE FEE PLUMB. FEE - 1 -"-���-•'�- - PERMIT NO. 4033.83=3 �' - J-09 dress f.. - `ten�� '- Space Zip "- r. -w er ►L_. CommunityValuation ' �, S ,z j `j rz�• Date y �� �•, Dist. �� Off. F.C.0 ' MH Permit Fee $ Micro Film Fee Cop S Use of Permit "' X" (/,,,,� / " ' `-� t 's •� C..C.S � �- Parcel No. t, -7 7�'/"- I33 0,2 t Use/Case No. Ck. By /• ;; Mech. Fee Dbl S PI. Ck. Fee S Set Bo:ks l lot Size is :. Construction Fee Dbl $� Legal' aription ' sc rs ` i - v F S R Electrical Fee Dbl S)! Zone Restr' o s Group Type• SMI Fee $ Plumbing Fee Dbl $ Bon -Amt. S 01.0 No. Plan/Checker Finol Dote �E nsper•�, •� � Unit P Sp. Insp. Fee $ - Demol. Fee S Const. lender Branch Supplimentol Permit Nu nbers Register. Fee $ Mileage Fee $ Address { City• t Zip /� S /' r,//�/ / ./.c Witness Fee $ Reinsp. Fee S OwneiH Z Lj r I V L,%. x I "?r Tel. C� Zip Total Fees $ Address,' �" /. i ' I... -L._ %�. City / L•••.. :�t •/.� Zip M.O. N.C. Q• Cash Check Received by Trees required f Contractor - Tel. - Licenselt Sewage System s /�„, 011 Address City Zip ��** . V1„ G _ T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 D,YS. CESSATION OF WORK verified 'by: s FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. y S- Sewer District I, HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH u� _ THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIENCATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. , ' L.4 cy; ' NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR Vents 19 BUILDING APPROVALS 20 MECHANICAL APPROVALS 1 Set Back 22 33 Ventilation System , 2 Ftgs & Frms''l �. lV/ 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel—zo 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 loA Fireplace T.O. Ej °o ADDITIONAL INFORMATION 11 Exterior lath Gl 7 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Botts) 12C Ceilin (Blown) 9 14 • Final - _ P.LUMBING.-APPROVALS'- ------------------------------------- 15 _ --------_ 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 Gos Test 25 Final 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 REAR OF PROPERTY LINE P/L P/I iI P STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT ll Permit Nc 284 199A 9/74 CANARY -FILE, PINK -APPLICANT ontractor- _ ..- 0wner4;-1Z'V6A1 Xr 11144 N57W?0 Architect_-_--- .--_. Contractor-----..- 53"(21 49i!MIX 04111 Address-__— Address- Address- — --- Address City 4 U��- City_- City ----- hone- Phone / ' Phone _ Phone-- II (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 0epartment 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 proper -y to be occupied until I (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 Blow Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. l�SE OF STRUCTURE JOB ADDRESS t.CLLJ �'`" I CJ�N +� SINGLE FC.MILY rV DUPLEX ❑ L G,AL DESCRIPT ON OF PROPERTY © Z H O LL _ APARTME'dTS AGRIC. [l � � _ V_.I_� *93 in Q -� - COMMERC AL INDUSTRIAL j '^ COMMUNITY ALTERATIONS 7, G Z NO. OF SUBMITTED PLANS --- USE OF PER IT Lu Q DX CASE NO. -- -- Z NO. OF PAR G PACES REQUIRED - — NO. OF BUILDINGS -NOW EXISTIJG Q -j ZONE -SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBAC RDINANCE # OF — FEET REQUIRED ON _ STREET t DATE `� SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___ H ,Zu CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET t - 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 °C DATE SIGNATURE OF ROAD DEPT. OFFICIA_ I SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS rn FLOOD CONTROL t- W AIR POLLUTION W t- DIV OF HWY YOUR PROPERTY MAY BE SUBJECT TO c cc — c FLOOD. RIVERSIDE COUNTY ASSUMES A- NO RESPONSIBILITY IN EVENT OF `FLOOD. 284 199A 9/74 CANARY -FILE, PINK -APPLICANT DEPARTMENT OF BUILDING AND SAFETY 00 1 VO COUNTY OF RIVERSIDE OWNER -BUILDER VERIFICATION A ,�ddress ,,,,,.,.,,,,.,,An."owner-builder" building permit has been applied for in your name and bearing ,.youryg,qatur,eL,, by Please complete and "return this information in the e'hvelbpe provided at your e,ael,.i,estcopporitunityi,-totavo,id.!unnecessary.,:�.die;lay.,)i.n processAng-and issuing your s u rt'his .,,,.v p.rj: f�i,c a t 1 on ji j ; c.,; flo.-bui--.Tding permit ]:,be :issued -junt.i-1 received. I . 'I personally plan to provide the' major-Tabb-r--�and ,�rr�aiet*.�i,a7lgl.!-fbi,t,t.on.:.',- struction-of- the proposed propertyimprovement''(yes�or no)` - 2. 1 (have/have not)- gned an application for building permit for, the proposed work. co, 3. 1 have contra'cted with the following person (firm) Y� f 6" p r'o':V; i'd.e. tt"hie' p`r�`6. - posed construction: Name P Phone - Address C i ty!,.i.'-1' Contractors License No. 4. 1 plan to provid6 'portions of the Wo'rk,"bui';,-I'h'a'.'v'e""hir.6e'd-' th`e'-fo111'dwi,ng­ person,to coordinate, supervise, and provide the major work.: Name Phones "44* N1.i;11 Address Contractors License No. -5. 1 will -provide some of the work but -1 have ,'-:c_bntrac-t6d,'.:(hi :— � _.� 1 I ' lowing pers6ns',to provide- the work indicat6d;'5'1 -"i' !-�'; ,, A w40,: 0;S ti:, Address,,*' h ne-,,,' Type of work '1'14L�Jr4l �04) Ct U 9 t:.; ;'A Q14, C -W -Z V I V il. 5KJ; I F.;j fj X! rO pr� 0-',i(3`% L'5.m Ael1I S1:-qn-d-,tU ref �P rop erty Own e r Date q pr, j 1,� vfj, i 6 !Wi S*btial Security Number 284-2002 7/80 0 E* 1:0V bl'.,!") -M, C+. DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as owner -builder you are the responsible party of re- cord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the pro- per permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and, where required, to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemploy- ment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner - builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, DEPARTMENT OF BUILDING AND SAFETY Leopoldo Rojo, Jr. Director 284-2001 7/80 0