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426114 (PLBG)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY �j S 426114 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS Zip Y IST FL. SQ. FT. @ ~ " Com unity - (/ V Valuation E YARD SPKLR SYSTEM 2ND. FL. SQ. FT. @ Dist. .,./O�wff. F.C.C. MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ Use of Permit .,J ����( /'OL 5 r'r71 Parcel No. POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ PI. Ck. Fee E Set Backs Lot Size DRAINAGE PIPING CAR P. SQ. FT. @ F `' v '64 S S R Electrical Fee Dbl E Zone estrictions —1 DRINKING FOUNTAIN WALL SQ. FT. @ SMI Fee E/ Plumbing Fee Dbl E URINAL SQ. FT. @ Plan Checker ESTIMATED CONSTRUCTION VALUATION $ Insp or 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)L,' APPLIANCE DRYER Address City Zip t GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 Tel. SQ. FT. @ c WATER HEATER Trees required S0. FT. RESID @1'/.c SEWAGE DISPOSAL Address S0. FT. GAR @ s/. C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES,) MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE P I I PERMIT NO. — 4 2 6114 — Job Address _- -- —� i1P- 2-) c�,4 MCS -, _ ;- A",-� � Space Zip Y Owne - / O'W ~ " Com unity - (/ V Valuation E Date �•� Dist. .,./O�wff. F.C.C. MH.Permit Fee E Micro Film Fee Cop E Use of Permit .,J ����( /'OL 5 r'r71 Parcel No. Use/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size Construction Fee Dbl E leg I Description l'. ��Y 7" F `' v '64 S S R Electrical Fee Dbl E Zone estrictions —1 Group Type SMI Fee E/ Plumbing Fee Dbl E Bond Amt. $ Plan No. Plan Checker Final Dote Insp or Unit Sp. Insp. Fee $ Demol. Fee E Const. Lender Branch Supplimentol Permit Numbers Registr. Fee E Mileage Fee E Address City Zip t Witness Fee E Reinsp. FeeE Owner/ en t ` a A' / Tal. Zip Total Fees E ''� Ad cess City Zip M.O. _N.C. U Cosh Check Received by Contractor JJ g- / !(] j,/ j' ;7 d 7L Tel. License# Trees required Sewage System 9 Y low Address Y City' - Zip }; T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WZ)RK verified by: r Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. ' r I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND ME STATE OF CALIFORNIA. I 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. Faint 284-208 (Rev.B/78) ©s j�A `�.., �...w'F:.u...aF"]c..J �.m�.ur .e.nriG_ " --.. z....a.�_r.1.t..--�\cc..._H�...L,::"l..t�:.:.d i -.r. �..t•�.,..�.,:'1_:..� .NF1.1�Wa_�..�:.�..r_..�atatd�.:i.rn...a......w......a ae��.�P,...�.ns. ae.�.�rrf...r.e...di...el .��,.:!'n...`a..���. NO. OPERATION DATE' INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS - MECHANICAL APPROVALS I , Set Back 33 Ventilation System 2 Ftgs 8 Frms 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. OP'N NO. - 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 A15..: 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 r Tank Pit L.Line PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT 1 1 Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT OwnerIrl - at- zArchitect —_. --_. Contractor_—_. _ -�jAgIL)I, Addre, ddress_-_— Address_--__— ---__ CitY k_a, J City-- _ City___— — _— Phone / Phone _ Phone— 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 •mei. 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 u I I (we) have complied with all laws f t) he County of Riverside and the State of California governing said prope4&60_e4w� 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. IsRAC�rra. J`3 USE OF STRUCTURE qP /^ ff_ JOB ADDRESS 7g -2`J `A-1 ie. � r 1 1 k ra_ I SINGLE FAMILY, DUPLEX El L A DESCRIPT ON OF PROPERTY Z - APARTMENTS AGRIC. Ow �- f�^-o N � —�� COMMERCIAL INDUSTRIAL ❑ G4 COMMUNITY ALTERATIONS n z NO. OF SUBMITTED PLANS USE OF PERMIT Lu qLu CASE NO. _ p z NO. OF PARKING SPACES REQUIRED __ _ NO. OF BUILDINGS NOW EXISTING _ Q 4 ZONE ,4? —Z SETBAeKS: FRONT SIDE REAR J m ' GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE N OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIAL F- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET- --z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H 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 C IMPROVEMENT? YES ❑ NO ❑ °L DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL S SWIMMING POOLS PUBLIC t— Q w SEWAGE DISPOSAL — = C FOOD ESTABLISHMENT WATER POLLUTION REMARKS FLOOD CONTROL w AIR POLLUTION _ DIV OF HWY c a YOUR PROPERTY MAY BE SUBJECT TO 4 c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. 426114 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE F/1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. CARP. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Canity - (,/ / %% l A SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ 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 Plan No. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Insp r 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. @ t BATH TUB M.O. N.C. Cash ,Check SQ. FT. @ c WATER HEATER Tel. SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Sewage System SQ. FT. GAR @ 3/. C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES J� MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE T LL P Sewer District r, 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 WCONN7ECTION 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 Address Space 7 Z xs- �%rs� ,��� tt✓� 19 ' Zip Owner / -- PERMIT NO. 4 2 61 14 Canity - (,/ / %% l A Valuotion E Dote 7 r YMH.Permit Dist. Off. F.C.//y�yi Fee S Micro Film Fee Cop E Use of Permit A� -Ie/-i-2`" 5 5 1 rf nzSet Parcel No. Use/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee E Backs Lot Size Construction Fee Dbl E Leg 1 Description +/� /� X `+ / r� C 5 e*- � � �4 � � F S S R Electrical Fee Dbl E/s/J Zone estrictions Group ��/ Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date /�(/ (, , R[ L / Insp r Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimental Permit Numbers Registr. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/ ant Tel. Zip Total Fees E -117 Adcrress --77 75— rf G C��I�IX City Zip M.O. N.C. Cash ,Check Received by Contractor /f y��/ �J ,4 / Q y. # " ' (/ Tel. License# Trees required Sewage System Address 7 2 2.5" C n Jl� /buy �"� City ,,,, Zi P c T/ T LL P Sewer District r, 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 WCONN7ECTION 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. 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 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 License No. Date Contractor Q OWNER -BUILDER DECLARATION I hereby a firm that I am exempt from the Contractor's License Law for the following reasons: '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.BP.C.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, B.BP.C.). [:� I am exempt under Section Gelate -z -a �/ Ow B.BP.C. for this reason: 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 T FROM WORKERS' COMPEON INSURANCE (This section need be eted if ermit v o for $100.00 or less.) I certify that in the perfo ance f the worklfor is t ermit issued, I shall not employ any person in any manner s as to ecome subject o e ers' Co sation laws of California. I further understand that f after making this ifia ption, I should become subject to the Workers' Compensation p visions of the cod , I must forthwith comply with such provisions or this en t sha 1 be deeme lop �te � dplicant �T 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 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, 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 state laws and county ordinances relating to building construction, and authorize a represen Live of the County of Riverside, Department of Building and Safety to enter upon the pro- perty w 'ch I v appl' o this permit for the purpose of making in sp cti d 7;MAl Sicrhature of ADDlicanbAaent Date G'l r Print Applicanti 284-2000 7/80 DEPARTMENT Qf $UI01-NG QND SAFETY : COUNTY OP -RIVERSIDE OWNER -BUILDER VERIFICATION Owner Address An "owner -builder" builaing permit has.been applied for in your.name and bearing .'your signature. Please complete and return this information in the envelope provided at your "earliest opportunity,to avoid unnecessary delay in processing and issuing your building permit. No building permit will be. issued until this verification is ,received. ..I ,personally plan to provide the major labor and materials for con- struction of the proposed property improvement (yes or no) 2J) I. (have/have not) signed an application for buil ing permit for the proposed work. 3. I have contracted with the following person (firm) to provide the pro- posed construction: Name Address I Contractors License No. Phone 4. I plan to provide portions of .the work, but I have hired the following ' person to coordinate, supervise,'and provide -the major work: Name Phone Address . _ ..._. ...... _. _.. - ty - Contras ors 5. I will provide some of the work but I have•cohtracted (hired) the fol- lowing persons to provide the work indicated: Name Address r Phone Type ofmwork i' f Signature Property Owner 284-2002 7/80 ate DEPARTMENT OF BUILDING AND SAFETY COUNWOF 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 an 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, rroneously implying that the property owner is provi.ding 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 0<! 5 r� CFO Leopoldo Rojo, Jr. Director n 284-2001 7/80 " ' RECORDING REQUESTED BY AND WHEN RECORDED. MAIL TO 1 I Name Street Addnat City er State L J SPACE ABOVE THIS LINE FOR RECORDER'S USE POWER OF ATTORNEY GENERAL KNOW ALL PERSONS BY THESE PRESENTS: That I, the undelsigned (jointly or severally, if more than one) hereby make, constitute and appoint %�' ` • my true and lawful Attorney for me and in my name, place and stead and for my use and benefit: - (a)- To ask, demand, sue for, recover, collect and receive each and every sum of money, debt, account, legacy, bequest, interest, dividend, annuity and demand (which how is or hereafter shall become due, owing or payable) belonging to or claimed by me, and to use and take'any lawful. means for the recovery thereof by legal process or otherwise, and to execute and deliver a satisfaction or release therefor, together with the.right and power to compromise or.compound any claim or demand: (b) To exercise any or all of the following powers as to real property, any interest therein and/or any building thereon: To contract for, purchase, receive and take possession thereof and of evidence of title thereto; to lease the same for any term or purpose, including leases for business, residence, and oil and/or mineral development; to sell, exchange, grant or convey the same with or without warranty: and to mortgage, transfer in trust, or otherwise encumber or hypothecate the same.to secure payment of a negotiable or non-negotiable note or performance of any obligation or agreement: (c) To exercise any or all of the following powers as to all kinds of personal property and goods,.wares and merchandise, choses in action and other property ill possession or in action: To contract for, buy, sell, exchange, transfer and in any legal manner deal in and with the same: and to mortgage, transfer in trust, or otherwise encumber or hypothecate the same to secure payment of a negotiable or non-negotiable note or performance of any obligation or agreement; .. (d) To borrow money and to execute and deliver negotiable or non-negotiable notes therefor with -or without security: and to loan money and receive negotiable or non-negotiable notes therefor with such security as he/she shalkdeem proper; (e) To create, amend, supplement and terminate any trust and to instruct and advise the trustee of any trust wherein I am or may be trustor or benericiary'. to represent and vote stock, exercise stock rights, accept and deal with any dividend, dls?.Fibution or bonus, join in any corporate financing, reorganization, merger, liquidation, consolidation or other action and the extension, compromise, conversion, acjustment. enforcement or foreclosure, singly or in conjunction with others of any corporate stock, bond, note, debenture or other security: to compound, compromise. adjust, settle and satisfy any obliga!ion,-secured or unsecured, owing by or to me and to give or accept any property and/or money whether or not equal to or less in value than the amount owing in payment, settlement or satisfaction thereof; (f) To transact business of any kind or class and as rr:y act and deed to sign, execute, acknowledge and deliver any deed, lease, assignment of lease, covenant, indenture, indemnity, agreement, mortgage. deed of trust, assignment of mortgage or of the beneficial interest Under deed of trust, extension or renewal of any obligation, subordination or waiver of priority, hypothecation. bottomry, charter-party, bill of lading, bill of sale, bill, bond, note, whether negotiable or non-negotiable, receipt, evidence of debt, full or partial release or satisfaction -of mortgage, judgment and other debt, request for partial or lull reconveyance of deed of trust and such other instruments in writing or any kind or class as may be necessary or proper in the premises. — — — (g) 4Striko if nnt.applicable. ]' Regardless of my disability or incapacity occurring atter the making of this Power of Attorney. this Power of Attorney shall not be affected for a period of / l� �7 or one year after the disability or incapacity occurs, whichever period first expires, with respect to my real (Insert number of months) property which constitutes my principal place of residence. (h}�-f+eFappt3cablel' Regardle s of my disability.or incapacity occurring after the making of this Power of Attorney. this Power of Attorney shall not be affected for a period of or one year after the disability or incapacity occurs, whichever period first expires, with respect to all of my (Insert number of months) r personal property. GIVING AND GRANTING unto my said Attorney full power and authority to do and perform all and every act and thing whatsoever requisite, necessary or appropriate to be done in and about the premises as fully to all intents and purposes as I might or could do if personally present, hereby ratifying all that my said Attorney shall lawfully do or cause to be done by virtue of these presents. The powers and authority hereby conferred upon my said Attorney shall be applicable to all real and personal property or interests therein now owned or hereafter acquired - by me and wherever situate. My said Attorney is empowered hereby to determine in his/her sole discretion the time when, purpose for and manner in which any power herein conferred upon hint shall be exercised, and the conditions, provisions and covenants of any instrument or document which may be executed by him/her pursuant hereto: and in the acquisition or disposition of real of personal property, my said Attorney shaii have exclusive power to fix the terms thereof for cash, credit and/or property, and if on credit with or without security. When the context so requires, the masculine gender includes the feminine and/or neuter, and the singular number includes the plural. WITNESS my hand this _.� Z__ day of -( , 19 0 ( J STATE OF CALIFORNIA SS. COUNTY OF _ Riverside On October 22, 1980, , before me, the undersigned, a Notary Public in and for said State, personally appeared known to me to be It executed the s WITNESS my hr 1. See reverse side c! r POWER OF ATTORNEY GENERA2l WOLCOTTS FORM 1400—Rev. 7-80 01980 WOLCOTTS. INC. scribed to theiMthin instrumerjt and acknowledged that she OFFICIAL SEAL MADA G. BROWN Spp b4 lf8cARY PUpLIC CALIFORNIA . (Se PRINGWAL OFFICE IN o3 Publi In and or said State. RiYERVO` COt$NTY My Commission Expires Aug. 20, 1992 rssan ar ormcoversmos usua pro ems.nefieldindicated. _ Before you sign, reed it, fill in all blanks. and make changes proper to your transaction. Consult a lawyer if you doubt the form's fitness for your purpose. DO NOT RECORD California Civil Code §2356(a) (West 1980 Supplement) provides: —(a) Unless the power of an agent is coupled with an interest in the subject of the agency, it is terminated by: (1) its revocation by the principal; (2) his death; or, (3) his incapacity to contract, except for a power of attorney created pursuant to Section 2307. 1, which power terminates upon the expiration.of one year from the occurrence of disability or incapacity of the principal, or of such lesser period specified by the principal." California Civil Code §2307.1 (West 1980 Supplement) provides: "When a principal designates another his attorney in fact or agent by a power of attorney in writing, signed by the principal and acknowledged, and the writing contains the words 'This power of attorney shall not be affected by the subsequent disability or incapacity of the principal until one year after the disability or incapacity occurs, or such lesser period specified by the principal,' or similar woids. showing the intent of the principal that the authority conferred shall be exercisable notwithstanding his or her later disability or incapacity, then the.authority of the attorney in tact or agent is exercisable by him or her as provided in the power on behalf of the principal until one year after the disability or incapacity occurs, or such lesser period specified by the principal, notwithstanding later disability or incapacity of the principal at law, provided, however, that the authority of the attorney in fact or agent under a power created pursuant to this section to engage in any transaction involving the sale, conveyance, excCange, transfer, partition, lease, or encumbrance of real property, or any rights or security interest therein, shall be limited to real property which comprises the principal place of residence of the principal. A principal may limit the time period that a power of attorney survives that disability or incapacity to a period less than one year. All acts done by the attorney in fact or agent, pursuant to the power during any period of disability or incapacity, have the same effect and inure to the benefit of and bind the principal or his or her heirs, devisees, and personal representatives as if the principal were competent and not disabled. Any bona fide purchaser or encumbrancer for value may conclusively rely upon, and need not inquire into, the capacity of the principal at the time a durable power of attorney is created pursuant to this section. If a conservator or guardian shall thereafter be appointed for the property or estate of the principal, the attorney in fact or agent shall, during the continuance of the appointment, account to the conservator or guardian rather than the principal. The conservator or guardian has the same power the principal would have had if he or she were not disabled or incapacitated. to revoke, suspend, or terminate all or any part of the power of attorney or agency."