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427460 (AR)PERMIT NO.� f- — 4274601 PERMIT NO. 423460 • DEPARTMENT OF BUILDING & SAFETY"'` COUNTY'OF RIVERSIDE - ,- FIELD ' DST CONSTRUCTION ESTIMATE. NO.' ELECTRICAL FEES NO.. PLUMBING FEES MH.Permif Fee $ . I ST FL. 2ND: -FL. FOR. GAR. CAR P. WALL' � ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Parcel No. a �ry ". .J� ' !.J Use/Case No. Ck. By 3. YARD SPKLR SYSTEM SQ. FT. @ Pl. Ck. Fee $ MOBILEHOME SVC. BAR SINK SQ. FT. @ ' Lot Size SQ. FT. @ POWER OUTLET ROOF DRAINS- Legal Description - �a t 4V S., �J �+v✓'• Q &i• '1 t DRAINAGE PIPING SQ. FT. @ S R DRINKING FOUNTAIN SQ. FT. @ Zonrfrictions 1�._ t URINAL SQ. FT. @ Type , VALUATION . $ WATER PIPING Plumbing Fee NOTE: Not to be used as property tax valuation' SWIM POOL, PVT FLOOR DRAIN Plan Checker .. Finnaa+l Date/ ✓ MECHANICAL'FEES SWIM POOL, COMM WATER SOFTENER Dental. Fee (T VENT SYSTEM 'FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Mileage Fee $ Address City Zip APPLIANCE DRYER Reinsp. Feb GARBAGE DISPOSAL Owner/Agent - Tel. .. Zip FURNACE UNIT WALL FLOOR' SUSPENDED Total Fees LAUNDRY TRAY i Address - -. , /�.0 _ �f%? • 1 • .i - - •� City - , •, Zip ' AIR HANDLING UNITCFM IDLE METER KITCHEN SINK _ Co tlo_ �1 -. Vv Te�✓' ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET ' LL P Address I '. r . _ .� .0 1.�7 /2 SCJ COMPRESSOR HP POLE,TEMP/PERM LAVATORY Sewer District ` HEATING,SYSTEM -FORCED GRAVITY AMPERES SERV ENT SHOWER ' BOILER B.T.U. SQ. FT. @ c BATH TUB SQ. FT. @ t WATER HEATER SO. FT. RESID @1'/.c SEWAGE DISPOSAL SO. FT. GAR @ s/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE C? DBL. TOTAL FEES MOB.HM. FEE MICRO FEE MECH. FEE PL. CK: FEE CONST. FEE ELECT: FEE SMI FEE FEE PLUMB. FEE PERMIT NO.� f- — 4274601 -- .- - - - Job Address -_ -, -• Space (a Zip �za Owner Y_ — . VV% Communilfy ,, q 611 ` b. ld }�ai�+ Valuation . $ Doter 7 y1` +✓ - . •..g f Dist. �( U_ 1 F.C.C. MH.Permif Fee $ . Micro Film Fee Cop $ Use //of. Permit {�• , 1"� ti l �� �! r`.'A11/���1 l L - � (� �' y1 `t 1, A (. �• , 1 *, Parcel No. a �ry ". .J� ' !.J Use/Case No. Ck. By 3. Mech. Fee Dbl $ ` Pl. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description - �a t 4V S., �J �+v✓'• Q &i• '1 t F S S R Electrical Fee Dbl $ Zonrfrictions 1�._ t Group Type , SMI Fee $ Plumbing Fee Dbl $ S Bond Amt. $ Plan No. Plan Checker .. Finnaa+l Date/ ✓ Inspect r Unit Sp. Insp. Fee $ ' Dental. Fee $ Const.'Lender Branch - Supplimentol Permit Numbers / Registi. Fee, $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Feb $ . Owner/Agent - Tel. .. Zip Total Fees $ i Address - -. , /�.0 _ �f%? • 1 • .i - - •� City - , •, Zip ' M.O. C. Cash Check Received by A.,2 _ Co tlo_ �1 -. Vv Te�✓' Licenss%e# ¢}�R 3�4.J1.:? Trees required Sewage System - T ' LL P Address I '. r . _ .� .0 1.�7 /2 SCJ Ci ! `����_\] a �''•� 4 k' t �✓ Zip 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. F HEREBY AGREE THAT ALL WORK IN CONNECTION. WITH THIS PERMIT WILL BE DONE IN ACCQ; DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND'THE STATE,OF CALIFORNIA. Sewer District ` d" I'HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE. PLANS AND SPECIFICATIONS HAS DONE SO IN ©s ACCORDANCE 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 8 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. 43 Final 10A Fireplace T. 0. P' ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Lath 12 Inferno[ 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 Gas Test 25 Final /—� , Tank Pit L.Line REAR OF PROPERTY LINE f P/L P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final G 2 STREET NAME 70 'r .•-' � �;' ;`fir*'; ,. u, v Z vl D R;_,7 , ,�• •' ... Y'- ,'' ; -A .-, ?...• r•"tt' Y O r t " ... .ry 7�Z0 1 c 7 Z 1 r t f ` ` f: .. • r.. • Ys Gt t : .. r D rn fn K-. . , z m OT a ( .. � y , 41 Y Ca NOT:CE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT ' DEPARTMENT OF BUILDING AND SAFETY COUNTY'OF RIVERSIDE DISTRICT ' ' Permit 284 199A 9/74 CANARY—FILE, PINK—APPLICANT s Owner ��^ �^^O�� Architect--_--- --_ , Contractor_ Addres 5' £ V'1(A Address___ Address,91 ut6a L LA D� ��• City—�--- City— City— _ 3-4-7- 4O 0 Phone Phone Phone _ I (we) the undersigned. hereby certify and acknowledge that I (we) have read the application and agree 'hat if Curb and Gutter, and W Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside'CountyDepar ment 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 bP 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 occ pied until I (we) have complied withall lawsofthe County of Riverside and the State of California governing said property. DATE 2--/.---- <-- SIGNATURE OF OWNER AND/OR AGENT ~ Approval by Signature from the Following Departments Listed. Be ow Must Be Obtained Prior to the Issuing of a Construction Permit. SPACE NO. 1 USE OF STRUCTURE JOB ADDRESS ��!UL� _ Q/S= SINGLE FAMILY � DUPLEX 0 PROPERTY -;2 33 Z LU LEGAL DESCRI,PT%.ON OF - APARTMENTS AGRIC. [l 0 H Q COMMERCIAL INDUSTRIAL ❑ _ G � COMMUNITY � ALTERATIONS Z a NO. OF SUBMITTED PLANS — USE OF PEt2MIT -sodezqzALu — c. � H CASE NO. --� Z NO. OF PARKING SPACES REQUIRED -- NO. OF, BUILDINGS NOW EXISTING a -j ZONE SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORD NANCE IEOF FEET REQUIRED ON S EET DATE --L/ SIGNATURE OF LAND USE OFFICIAL --- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET i F- oe d 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. OFFICIAL 2 SWIMMING POOLS PUBLIC JW SEWAGE DISPOSAL _ _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS vt FLOOD CONTROL H W AIR POLLUTION _ DIV OF HWY -Y c a — YOUR PROPER MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIB LITY IN EVENT OF FLOOD.. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT s DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE APPLICATION CERTIFICATE PERMIT N Effective July 1, 1980, Chapter 1301, Section 19825'of the He4lth 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 Sectioi 7000) of Division 3 of the Business and Professions Code and my license is in full force and effe=t. License Class � � (% License of Z- 7 3, 6 Date Z L Tc* l/ Contractor ® OWNER -BUIL ER DECLARATION I hereby affirm that I am exempt 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 se -1 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.0-.). I, as owner of the property, am exclusively contracting with licensed contra:tors to construct the project (Sec. 7044, B.&P.C.). [:J I am exempt under Section , B.&P.C. for this reason: Date Owner [D WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a Certificate of Workers' Compensation Insurance, or as certified copy thereof (S c. 3800, Lab. Code). Policy No. <_27ZS�4 —E—/ Insurance Certified copy is hereby furnished. Certified copy is filed with the County of iverside, Department of Building and Safety. Date k`Z, 7'/ Applicant r�6 CERTIFICATE OF EXEMPTION FRO6ORKERS' COMPENSA' ION INSURANCE (This section need not be completed if permit valuation is for $100.00 or -ess.) I certify that,in the performance of the work for which this permit is issued, I shal- 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 bec)me subject to the Workers' Compensation provisions of the labor,,code, I must forthwith comply with iuch provisions or this„permit shall be deemed .revoked.,y/ 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 C 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 theeeof, 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 permi': 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- perty for which I hive applied f6r is permit for the purpose of making ins-p7ectio�es./ Signature of Ap I *cant gent `.- Date 284-2000 7/80