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413971 (BLCK)PERMIT NO. DEPARTMENT OF BUILDING SL SAFETY FIELD 5 l 13971 COUNTY OF RIVERSIDE � CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ UNITS Zip Owne' - � � � ' Sr>P 2ND. FL. SQ. FT. @ POR. SO. FT. @ GAR. SQ. FT. @ MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS CAR P. SO. FT. @ Dote DRAINAGE PIPING WALL SQ. FT. @ F.C.C. DRINKING FOUNTAIN Micro Film Fee Cop $ URINAL ESTIMATED CONSTRUCTION VALUATION $ Parcel No.. F 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 Group GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plumbing Fee 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. SO. FT. @ 4 BATH TUB Witness Fee $ SQ. FT. @ 4 WATER HEATER Owner/Agent r S0. FT. RESID @11/,c SEWAGE DISPOSAL SQ. FT. GAR @ t/44 HOUSE SEWER Address /� 2 �� �L/ 5, '� �j ` CZ& ✓ / /ems ' GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAI,FC MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE /CON4ffif ELECT. FEE S SMI FEE FEE PLUMB. FEE 14 PERMIT NO. 4139711 – T lob A r ss – – – _ – j'�U – -- - � - � _ Space Zip Owne' - � � � ' Sr>P Community f '� Valuation $ Dote Dist. Off. F.C.C. MH Permit Fee $�" Micro Film Fee Cop $ Use of Permit b Parcel No.. F Use/Case No. Ck. B Mech. Fee Dbl E PI. Ck. Fee $ Set Backs —7r --T Lot Size Construction Fee Dbl $ Legal Description `�`"R' l " r �f- ) C s U/5 \ !/ F I R Electrical Fee Dbl $ Zone Restrictions /F\ ^" / Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt.Plan $ No. Plan Checker rte ns for �/ Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers / Registr. Fee $ Mileage Fee $ Address City Zip --^---• Witness Fee $ Reinsp. Fee $ Owner/Agent r Tal. / Zip Total Fees $ 19 Address /� 2 �� �L/ 5, '� �j ` CZ& ✓ / /ems City Zip t M.O. ❑ N.C. ❑ Cosh Check ❑ Received by Contractor Tel. ,1 License# Trees req ed Sew a System /'ftp �.fr Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WO verified by: 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. Y FY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ' Form 484.408 (Rev. 1/80) AC R CE H 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 Figs & 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 r 7 Framing I ��r �/�� / 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. °o n ADDITIONAL INFORMATION 7 ' 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 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test 25 Final Tank Pit L. Line REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L P/ 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 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 iaw 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 emp.loyees, 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 CFOIQ e o p o I do Rojo, r. Director 284-2001 7/80 A. ki DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE OWNER -BUILDER VERIFICATION ress An "owner -builder" building 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. 1. I personally plan to provide the major labor and materials for con- struction of the proposed.property improvement (yes or no) L4,,V y U 2. I (have/have not) signed an application for building permit for ;the proposed wor c. 3. I have contracted with the following person (firm) to provide the pro- posed construction,: Name Phone Address City Contractors License No. 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 f�`�c;.l.�ocn��r�� Phone Address City GJs�1i� Contractors License -No. ' 5. I will provide some of the work but -I have contracted (hired) the fol- lowing persons to provide the work indicated: Name Address Phone Type of work � - Social Security Number 284-2002 7/80 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 CANARY—FILE, PINK—APPLICANT Owne f 1 ' r Architect Contractor Addres- Address Address- -- ( q ' City (�1 .: City City_ Phone- Phone Phone 01W 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 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 wit all laws of the County of Riverside and the State of California governing said property. �"' ��i � DATE SIGNATURE OF OWNER AND/OR AGENT 5"• ^f Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. �J I SPACE NO. I i+ �j /x111 USE OF STRUCTURE ©� JOB ADDRESS < "' o� O i�� "y 1-h .� vi - �— SINGLE FAMILY �^ DUPLEX ❑ } Lz DESCRIPTION OF PROPERTY ��/ - �e9 - OfEGAL APARTMENTS ❑ AGRIC. El N Q - COMMERCIAL INDUSTRIAL n CG COMMUNITY. ALT CATIONS LJ Z NO. OF SUBMITTED PLANSUSE OF PERMIT CASE NO. Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING -- a ZONES f SETBACKS: FRONT SIDE REAR Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE iY __ OF FEET REQUIRED ON STREET DAT — SIGNATURE OF LAND USE OFFICIAL r- `--^ DEDICATION REQUIRED: YES Q NO ❑ NO. OF FEET__ F W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET oc CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET CIMPROVEMENT? YES ❑ NO p °L DATE _ SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLIC WSEWAGE DISPOSAL FOOD ESTABLISHMENT _ _ WATER POLLUTION REMARKS P FLOOD CONTROL AIR POLLUTION W z DIV OF.HWY cc YOUR PROPERTY MAY BE SUBJECT TO C < — o. c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO, 413971 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE gs� COUNTY OF RIVERSIDE / CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS /` /I" SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SO. FT. @ DRAINAGE PIPING SO. FT. @ Zn DRINKING FOUNTAIN C- URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tox 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 Inspect 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. SO. FT. @ e BATH TUB M.O. [D N.C. Cosh .• Check SQ. FT. @ a WATER HEATER Tel. S0. FT. RESID @114a SEWAGE DISPOSAL Sawee, System S0. FT. GAR @a s/.a HOUSE SEWER GAS PIPING PERMIT FEE - PERMIT FEE PERMIT FEE DBL. TOTAL JWMOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE �Ol,le,,fA ELECT. FEE SMI FEE FEE PLUMB. FEE 4139 PERMIT NO. 71 Job f �'J [//�GJ Jn/ Spa r/ sr� /�r r Yi�Z. (T LV/! Z'ip�l7 Jam++ 0wna(/r,,,^��7 Cam//m//y/,�nity . /"�'� a � / Voluotion $ /` /I" Dist. // Off. F.C.C. MH Permit Fee S Micro Film Fee Cop $ Use of Permit Parcel No.q / Use/Cos. No.. Ck. 8 Mech. Fee Dbl S PI. Ck. Fee S Set Bock$ Lot Size Construction Fee Dbl S Legol//DeJJscription {�/f (y/�,,�r.% / /��� ,__-r>< / /� �✓�M1' r ��+U/9 TJ' f/ F S S R Electrical Fee Dist S Zone Restrictions, A' / Group Type SMI Fee $ Plumbing Fee Dbl g Bond Amt. S Plan No. Plan Checker Final Dot. Inspect Unit Sp. Insp. Fee S Demol. Fee S Const. Lender Branch s ' Supplimentol Permit Numbers Regist, Fee S Mileage Fee g Address / '� ' City Zip r s Witness Fee g Reinsp. Fee g Owner/Agent Tel. Zip Total Fees s Address /� (" /� '5 - AV �✓ 6 -' ��� v D� City ,�{ Zip + 4` ��T�` , M.O. [D N.C. Cosh .• Check Received by 14101 Contractor Tel. License# Trees re ' e Sawee, System Address City Zip( T LL p THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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. K/L/'��G'�(`11 BY IFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) A 0R NCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: