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426460 (MECH)BUILDING PERMIT — — [PERMIT NO. DEPARTMENT OF BUILDING & SAFETY 4264601 COUNTY OF RIVERSIDE 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 YARD SPKLR SYSTEM MOBILEHOME SVC, BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ 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) i s APPLIANCE DRYER 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 SQ. FT. @ c WATER HEATER SQ. FT. RESID (^i�I SEWAGE DISPOSAL SQ, FT. GAR @ '. c HOUSE SEWER GAS PIPING (PERMIT FEE i % PERMIT FEE PERMIT FEE DBL. 7 TOTAL FEES MOB- HM.FEE MICRO FEE MECH.uFFE PL. CK FEE CONST, fEE ELECT. FEE SMI FEE FEE PLUMB FEE PERMIT NO. 42646 Job Address Space ZIP Own r Commynity S/ 1 � `� � / �!/(✓ ! '� Valualion Dale- $ Dim. Off. F C C MH Permit Fee S Micro Film Fee Cop $ Use of Permit • '� �,>✓�.. r%�'"r/�'Ir%.6' ;•• �J r Parcel No_ JL�' 1�� ry-v��r Use/Cose No, Ck By �-; Mach. Fee Dbl b 7 2ki PI. Ck. Fee $ Sel Backs Lot Size :CbmTrucllan Fee Dbl 'S Legal Description / /ilJ"t"'-rC (' f Electrical Fee Dbl5 Zone Restrictions � Group Type SMI Fee S Plumbing Fee Dbl $ Bond Amt. Plan No Plan Checker Fin •�� I Unil $ Consl. Lender Branch Supplimental Permit Numbers Address City Zip Sp. imp: Fee $ Demol. Fee :S Regmtr. Fee ;S Mileage Fee $ Witness Fee $ Reinip. Fee Owner/Agent Tel. Zip Total Fees $ Rddresi Clty Zip M O El N.C. Ll Cash Check Received by Contractor ., ..• r�� Tel. ~- --- Licensed TreesraQvired _ - Sewage System Address Ty Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK rar fd Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID, H 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 Form 284-208 (Rev,8/78) ©s 1 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. /d lid sajnlx!d OE oulpuoq 967, anM 6u!puncio V66 r 5u!nM 66 a:>uoJlu3 @D!nJ@q K I!npuoJ LL alod Jamod 96 SIVAONddV IVDII113313 3NI7 AIUMONd 10 aV38 cull l lid >luol lould Cc NOI1V301 13ZIS W31SAS 30VM3S NOIIVWSOINI IVNOI11aaV ao Isal soO VL aD!AJaS JaloM EL Jaual;o5 ialoPA ZL JaloaH Ja40M kL losods!Q a5om@S 61. gwnld g6noa LL 6wdid jaloM 91 gwr'ld p -no:o SIVAObddV 9N19Wflld Inu:d (Wr 019) 5u'I!GD JLk (SIlOq) 5uil!aJ 961 (sit-9) sIIDM VL anlo% �aigl NOUVIMNl apwO is!u! j E I IIDMA1Q VLl glollouJalul Lk glol JO!Jelx3 k k ❑ 0*1 aDoldanj Vol Fuld E7 ❑ 'l d aDolda,ij Ot POOH IopJawwo' LV Ilom and abojoO 6 ao!nad uOihalaQ ajowS it, Gluon 9 jadwo4 aa!j oy 6u!woJj z aouojo@ID -IddV 6£ )oa4 }DDa 9 jossajdwOD g£ swoag Pu09 5 J!y uo!lsngwo' LE $DPo19 lnojo Y s4allo0 8 slalul 9£ IaalS E -podwo' aOownj SE apD"J golS VL slond 8 swnuald 4E swJ j g s51j L walsAS uo!Iol!lua^ E£ ):,no IaS I. SIVAObddV IVDINVH33W SIVAOdddV ONIQI1f1e aO1J3dSNl 31V7 NOIlVa3d0 ON a01D3dSNl 31Va NOI1Va3d0 ON DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE TIME PERMIT NUMBER 6 INSPECTION ADDRESS SPACE NO. REQUESTED FOR: OWNER COMMUNITY ' A.M. BUILDING PLUMBING ELECTRICAL MECHANICAL ❑ ISOPJ r TUES REMARKS: QTHUR FIFRI \� OWNER/CONTRACTOR TEL.NO. 2944 $I/7S DEPARTMENT OF BUILDING AND SAFETY`. COUNTY OF RIVERSIDE OFFICE DATE _ TIME PERMIT NUMBER 3 INSPECTION REQUESTED ADDRESS I SPACE NO. FOR: 5.1 I OWNER COMMUNITY a A.M. A P1A. BUILDING PLUMBING LECTRICAL MECHANICAL TUE'S r. a WED REMARKS: THUR FRI ' OWNER/CONTRACTOR TEL.NO. NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY rnuuTV ng etvctaanc Permit No Contractor 44MMd_QF- .�/,�..�( 6X Address�CL? City_ =]A10, a rA Phone- 3060 e application and agree that if Curb and Gutter, and Riverside County Department of Building and Safety ware that no work is to be done within the County R/W t cause said property to be occupied until I (we) have ig said property. t /OR AGENT ( '��,((� //�-•L.wi-or rtments Listed Below onstruction Permit. 0�USE OF STRUCTURE A, SINGLE FAMILY DUPLEX E] APARTMENTS AGRIC. COMMERCIAL INDUSTRIAL L, ALTERATIONS n i" 3S NOW EX/STING - �' REAR -- STREET '.IAL ��i e STREET LENT PERMIT FOR DRIVEWAY AND STREET T. OFFICIAL REMARKS OUR PROPERTY MAY BE SUBJECT TO LOOD. RIVERSIDE COUNTY ASSUMES 0 RESPONSIBILITY IN EVENT OF FLOOD. CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY'OF RIVERSIDE PERMIT # 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: l_:J, 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 G o2 a C, 4,2 _ License No. . --;2 T '7,5_0 3 -a Date b - _ v 1 Contractor F e..uv- e.* aC ,,>v awn• ,,h�-„c p /tet f p C OWNER -BUILDER DECLARATION a I hereby affirm that I 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.). M I am exempt under Section , B:&P.C. for this reason: Date Owner !® 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'(S,ecc.. 3800, Lab./Code). Policy No.(9Z) 0,2,54741—? nsurance Certified copy is hereby furnished. y Certified copy is filed with the County of Riverside, Department of Building and Safety. Oate (o - a - g / Applicant /, Dere-. 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 Appli 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 Q 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. Q 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 which I have applied for this permit for the purpose of making inspections. A - q,7 .�.r.► .rte ..v (o - K — / Signature of Applicant/Agent Date P/C.4Iq Ola 6? r:-, /4f(4lrc'X(L= >< Print pplicant/ gent Name 284-2000 7/80 BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING &SAFETY r7/ 4 2 6 4 6 0 COUNTY OF RIVERSIDE FIELD OFFICE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ PERMIT NO, 426460 UNITS Valuation IST FL. SQ. FT. @ Dist. Off. F.C.C. 2ND. FL. SQ. FT. @ Micro Film Fee Cop E Use of Permit si ` /r //•� � v YARD SPKLR SYSTEM Use/Cose No. 19,51 Ck.By MOBILEHOME SVC. BAR SINK FOR. SQ. FT. @ Lot Size Construction Fee Dbl E ^..„ Legal Descriptionj -( ( � A-ae� ��"u •" / �`- F� V S /O S A) t R Elec'ricol Fee Dbl E/ POWER OUTLET ROOF DRAINS GAR. SQ. FT. ' @ SMI Fee E Plumbing Fee Dbl E Bond Amt. E CAR P. SQ. FT. @ Plan Checker in I Date J �-- DRAINAGE PIPING WALL SQ. FT. @ Sp. Insp. Fee E Demol. Fee E DRINKING FOUNTAIN Supplimental Permit Numbers _ Registr. Pee E Mileage Fee E URINAL SQ. FT. @ Reinsp. Fee E Owner/Agent Tel. Zip ESTIMATED CONSTRUCTION VALUATION $ Total fees E Address WATER PIPING NOTE: Not to be used as property tax valuation Received by SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Trees required SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER 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 SQ. FT. @ C WATER HEATER SQ. FT. RESID @ I''/. C SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL F ES MOB. HM.FEE MICRO FEE MECH. f4E PL. CK: FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE 7 �vv T LL P I THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK vedflod by: "Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. • 1 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 05• ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Job Address Space /-es- � Zip Own PERMIT NO, 426460 Com/mf^ity Valuation Date Dist. Off. F.C.C. MH.Permit Fee E Micro Film Fee Cop E Use of Permit si ` /r //•� � v Parcel No. �•� 76 �d 7'^�Q/ Use/Cose No. 19,51 Ck.By Mech. Fee Dbl E PI. Ck. Fee E Set Backs Lot Size Construction Fee Dbl E ^..„ Legal Descriptionj -( ( � A-ae� ��"u •" / �`- F� V S /O S A) t R Elec'ricol Fee Dbl E/ Zone Restrictions Group Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker in I Date J �-- Insp or Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimental Permit Numbers _ Registr. Pee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip Total fees E Address City Zip M.O. N.C. a Cash o Check Received by Contractor •� �/� / lj I� „� /f'LCiF.•(,Z.cq C.; e. �/ • Tel �'7 <)�� License# Trees required Sewage System Address - i F.. -✓ IS df Cit y � Z'p �,2 ZV ) T LL P I THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK vedflod by: "Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. • 1 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 05• ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.