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418302 (RPL)PERMIT NO. 41.0302: ,DEPARTMENT- OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD FDST ti CONSTRUCTION ESTIMATE NO. " ELECTRICAL FEES NO. PLUMBING FEES . IST FL. • 2ND. FL. POR GAR. '• CAR P. WALL SQ. FT. Q UNITS ortel,No. ). Set Backs SQ.. FT. Q YARD SPKLR SYSTEM SQ. FT @ MOBILEHOME SVC. BAR SINK SQ. FT. POWER OUTLET ROOF DRAINS SQ., FT. Q DRAINAGE PIPING SQ FT DRINKING FOUNTAIN SQ. FT: URINAL ESTIMATED ONSTRUGTION VALUATION $' Address - gX WATER PIPING NOTE: Not to be used a; property tax valuation _ SWIM POOL, PVT Qa FLOOR DRAIN MECHANICAL FEES_ SWIM POOL, COMM IKgdl Deec}Iption WATER SOFTENER VENT SYSTEM ' eFAN EVAP. COOL HOOD SIGN I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH WASHER (AUTO)(DISH) q APPLIANCE DRYER � OF° RIy ERSKD COUNTY -AND THE STATE OF CALIFORNIA. •. •r T5HEFY GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED ETHAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE'SO IN WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Bond Amt. LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER or KITCHEN•SINK ABSORPTIONBYSTEM B.T.U. TEMP USE PERMIT SVC f WATER CLOSET COMPRESSOR HP POLE,TEMP/PERM f LAVATORY HEATING SYSTEM - FORCED + GRAVITY AMPERES SERV ENT f SHOWER BOILER B.T.U.SQ.. FT. < $ BATH TUB SQ. FT. ® . 'c $ WATER HEATER Owner/Agent -SQ. FT. RESID',®li/.c SEWAGE DISPOSAL 50. FT. GAR'S 9;c HOUSE SEWER R Addr &'t GAS PIPING e� PERMIT FEE PERMIT FEE pca PERMIT FEE _ DBL: TOTAL FEES`. _ : /�fVL MOB.HM.FEE' MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE - r -- :,EEE•-- :. "SNIIFEE' FEE; .� PL AAB.' •- el Space Zip Owner Valuation Date ' Dist. 'PERMIT NO. w i Job Address ortel,No. ). Set Backs UEwp • 'Community. r :.MH.Permit Fee Is Supplimental PermitNumbers 4 I Micro Film Fee Cop f Use of.Permit ' Mech. Fee Dbl f Address - gX PI. Ck. Fee f LL P THIS PERMIT' BECOME DIF VdORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION'OF WORK 'Construction Fee Dial f �y IKgdl Deec}Iption Electrical Fee Dblf I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH SMI Fee f � OF° RIy ERSKD COUNTY -AND THE STATE OF CALIFORNIA. •. •r T5HEFY Plumbing Fee Dbl f ETHAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE'SO IN WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Bond Amt. Plar%4 .Sp. Insp. Fee f or f Demo]. Fee f Const.. Lender Registr. Fee f Mileage Fee f Address ' Witness Fee $ Reinsp. Fee' $ Owner/Agent Total Fees Addr &'t Space Zip Owner Valuation Date ' Dist. Tel.. Size F� Unit " 1� Zip I w i F P, an ortel,No. ). Set Backs 5 S on estNction Final'DateFYA/yQ In 7-/2 Contr Branch Supplimental PermitNumbers City Zip Tel.. Size F� Unit " 1� Zip I M.O. C.. Cash Check ' 'y 6/b�-. •k �'•� A./:.:' "�.. Received by eL Contr Tel. LicenseA Trees req ir l Sewage System. Address C' Zip - T LL P THIS PERMIT' BECOME DIF VdORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION'OF WORK verified by: 'Sewer District �y 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 � OF° RIy ERSKD COUNTY -AND THE STATE OF CALIFORNIA. •. •r T5HEFY '�"ADANCE •:Form 284-208 (Rev.B/78) ©s ETHAT'THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE'SO IN WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. , NO. OPERATION DAATE ' r INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back t 33 Ventilation System 2 Figs & Frms / 34 Plenums 8 Ducts 2A Slob Grade 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Rocf 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. 0 FY 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 (Botts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Pwmb -- — — - 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 298 Bonding 30 Fixtures 31 Service 32 Final STREET ' r- 1''i-. i•', • NOT:CE: THIS IS NOTA BUILDING PERMr'r APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY' OF RIVERSIDE KL -f 00(1,41'0[1 City/1-i1'", t'.Vwf?vr1'+ Phone 7 .Address—_ City-- Phone _ DISTRICT Permit. No Contractor Address Vifi, r°0 �� r Address 6 b -7143 &J26? Phon. -3-2V7 a Y!ff me.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 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 with all laws of .rhe County of Aiverside and the: State of California governing said .property.. /+� ,Q ' DATEt� �1 SI.GNATURE 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. I SPACE NO. /� USE OF STRUCTURE JOB ADDRESS ��� /�C1Ly � � `-r�U it/T — �...• ) - SINGLE, FAMILY DUPLEX Z f LEGAL DESCRIPTION OF PROPERTY _ G a - APARTMENTS A'GRIC. [l 0 amCOMMERCIAL INDUSTRIAL [] N , N 1 5:N C COMMUNITY ALT,ERA'T ONS Z NO. OF SUBMITTED PLANS USE OF PERMIT o a` N .4 CASE NO. p Z _N0: OF �PP'AA�R�KKING��SPACES REQUIRED NO. OF BUILDING NOW E STING Q � ZONE S_SETBAC'KS: FRONT / SIDE J :kA m GRADING' PERMIT'REQUIRE v YE/S' [:], NO M LOT SIZE SETBACK ORDIN'ANCE.# dos. � FEET R,EQUJRED ON r �� STREET DATE _� J SIGNATURE OF LANDUSE OFFICIAL I DEDICATION REQUIRED:. YES ❑ ,NO ❑ .NO. OF FEET-— z CURB AND GUTTER REQUIRED: YES p NO ❑ STREET H • 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 IMPROVEMENT? YES ❑ NO ❑ °L DATE— SIGNATURE OF ROAD DEPT. OFFICIAL SSWIMMING POOLS PU'B'LIC t, SEWAGE DISPOSAL FOOD ESTABLISHMENT WATER POLLUTION REMARKS f FLOOD. CONTROL Z AIR POLLUTION ='F DIV OF HWY t -- < _ YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE ° COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD, �I' 8�.22A�7�4 DEPARTMENT'OF BUILDING,AND SAFETY - APPLICATION CERTIFICATE COUNTY"OF RIVERSIDE• PERMIT # r EffectiVe,July 1. 1980. Chapter `1301 'Section 198250 the•Hleeith and'Safety Code requires the execu- tion of the following'�,applicable declarations prior to the:is;uance of a building permit. Please print'or type .and sigry belows LICENSED•CONTRACTORS DECLARATION I hereby affirm.that I am licensed under provisions of Chapter 9 (comnencing'with-Section 7000) of Division 3 -of the 'Business and Professions Code and my license is in full force and effect. Licenselass g — ,5 L:icens No. Dated § d �i� Contractor[7—//_ 0 nu [� OWNER -BUILDER DECLARATION'. I hereby affirm that I am. exempt from, the Contractor's,L:icense 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. 703l.5;"B.&P.Cr.). [� I. as owner of the property, am exclusively contracting with licensed contractors to construct•the project (Sec. 7044. B.BP.C.). M I am exempt under Section Date Owner WORKERS' COMPENSATION DECLARATION B.&P.C. for this reason: I Hereby affirm that I,have a certificate of consent to self -insure, or a Certificate of Workers'. Compensation Insurance, or a certified copy thereoff'(Sec. 380.0, Lab. Code). Policy No.�721 6-/ 20 113 3 insuranceC OPJ1'/%l�/LC1iq,�• �I'yllt-Tl/ Certified copy is hereby furnished. Certified copy is filed with the Co nye of �iversi artment of Building and Safety. Dai G1P%L/L lQ�l Applicant Q CERTIFICATE OF EXEMPTION -PROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if•permi•t valuation is for $100.00 or less.) I certify that ,in the performance of the work for which thi's 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. DateApplicant 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 i,d connection with work authorized by thispermit. and that no building, structure, scaffolding, fa.lsework-, or demolition or.dismantling thereof, will be more than thirty-stx (36) feet high. :(,Chap 3.:2;. Grp Z, Art 2, Sec 341, Title 8, C.A.C.) 0 As owner -builder, I wtll 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 cons.truc:ti'on, and authorize a repres ntative of'the. Count of Riverside, Department of Building and Safety to enter upon the pro- perr'_0_X-X1 r which I hav a. a for this permi for the purpo of making inspectio s. ( =tea.. ' .P C_5?6� S-Vgn of pp can gent Date Print pp 'cant/,.gent. Name 2A11 2nnl� ZLRl� � PROJECTAM!��BtJILJ1 Et_'S, r&UOE I c ENGINEER:' CHECKED:'? PA C I'F I C A- PROJECT NO. SHEET:, .6F - Z ENGINEERING CORP. P.O. BOX 876 CCENDORA. CAUF.9174'0 12131 063•.7916 DATE I _LAJA .�C�:..W_IN:G 1 I I _I -N�d/ _ — !E`.l-5.< - I `- ► - -� iso -`_ : - i - - -� - G - - ' - r t I tt �_..RSc1LTrtl.t� CDD_-�'�_-ice:- r-•R 'c f-h- i I ( � , f , 1. ► � I_ f i I_ i - - - f l ' i. l � i � _ t I i / �.1 ��! �- I �..7._ GC+'��VDy� �i =''� D � O /I � . i. -"_._' i •�--. I -- .. .�l.�Z ,r (,_,^ I 1'. � '. r_� PROJECT: AlFWRYPT �iJ/LG�C"��S oIVC p E ENGINER:: C.A. CHECKED: PA C I F I C A PROJECT NO. SHEET-- Z OF , Z ENGINEERING CORP. 7708(—OZ P.O.. BOX 976 GLENDORA• CALIF 91740 12131 963.7316 DATE: _vAttc.':_:D.E' L_t�J L.00TING'zso H — F. - I_ I � � ,- , l f t I► I —_I T -F = i ; s I- - --' - r- i I �� s i •� I A. vo co 43 'a--•1•-- '�'--fr - .�..} V.,. ( -t_._ .�.. `- ,. 11W � /ri � r j I - t F - I - 1 I I y I D ! —1--— j— U�tz1; o _J 777 't I --� 4 ti - I 1. I 1— _✓y_ T _ , . ­ — _[__w I , i PERMIT NO. 416302 PERMIT .N3 O 2 O. Q 4-1 83021 Job Address1 - DEPARTMENT'OF BUILDING 8.'�SAFETY COUNTY OF RIVERSIDE, FIELD OFFICE {' 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES ' 1j U l A NO. PLUMBING.FEES IST FL.. 2ND. 'FL. POR. GAR. CARP. 'WALL SQ. FT. @ $ UNITS F.C.C. �++� ec .MH^rmit Fee ;. Micro Film Fee SQ, FT, �, ` YARD SPKLR SYSTEM Uswof Permit SQ, FT,. @ MOBILEHOME SVC. BAR SINK 'Po D SQ. FT. @ POWER -OUTLET ROOF DRAINS .0 _/Cose No: DRAINAGE PIMNC SQ: FT. @ Mach. Fee Dbi S SQ. FT. @ DRINKING FOUNTAIN. - Set: Backs SQ..FT:. �. ESTIMATED CONSTRUCTION VALUATION $ Corati"uction Fee Electrical Fee Dbl =esuipNbnF Dial S URINAL WATER,PIP,,ING NOTE: Not to be used as property tax valuation SWIM. POOL, PVT 0_ 42 FLOOR DRAIN Group MECHANICAL FEES SWIM POOL, COMM SMI fee $ WATER SOFTENER t' VENT SYSTEM FAN .EVAP. COOL HOOD SIGN :PlonChecker 'Final Date.'' ; 'Inspector ��iG - I ✓:, Bronah Suppimentol' Por.Mit Numbers 'City.. Ztp , r WASHER (AUTO)(D.ISH) ,Demol. Fee $ APPLIANCE DRYER Mileage.Fee. 1 Witness Fee $ GARBAGE DISPOSAL s FURNACE UNIT WALL FLOOR SUSPENDED - LAUNDRY TRAY Zip,^ AIR HANDLING UNIT CFM, IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.,T.U. TEAIIR USE PE-RMIT SVE Zip WATER CLOSET_ Received- Trees requi COMPRESSOR HP POLE,TEMP./PERM - LAVATORY T�eL.� HEATING SYSTEM FORCED GRAVITY AMPERES:SERV ENT Sewage System SHOWER Addres BOILER, B.T.U. SQ. FT.. @ e I /'L / BATH TUB L . SQ. FT, @ c WATER NEATER ` r $Q. FT. RESID @litfi< SEWAGE DISPOSAL SO. FT.=BAR '@ >4 C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES M©B.FIM:FEE MICRO'FEE MECH. FEE' PL..CK. FEE CONST. FEE ELECT., FEE SMI FEE FEE PLUMB.. FEE i PERMIT NO. 416302 Job Address1 - SpaceOw 4A Cm r °y Co mtinity ' 1j U l A Valuation (��. ; I � - oo +'� Date `r)L Di )L.L F.C.C. �++� ec .MH^rmit Fee ;. Micro Film Fee Cops Uswof Permit 60J' 'Po D 1 No. / J � � ✓® �Ai.+r .0 _/Cose No: Ek, By yC5 - Mach. Fee Dbi S PI, Ck. Fee $*Bond - Set: Backs Lot'Size - Corati"uction Fee Electrical Fee Dbl =esuipNbnF Dial S 5 5' R Zono.Res.rtctto _ Group 'type SMI fee $ Plumbing. Fee Sp. Insp, Fee D41 $mt: s Const. `Londer .Aadrex Plan No. . :PlonChecker 'Final Date.'' ; 'Inspector ��iG - I ✓:, Bronah Suppimentol' Por.Mit Numbers 'City.. Ztp , r ,Unit ,Demol. Fee $ Aeglstr. Fee $ Mileage.Fee. 1 Witness Fee $ .Reinsp. Fee s Owner/Agent - Tel. Zip,^ 7btol FeesArid' city - Zip M.O[71 _;kie [I—C.ShEl Cha" Received- Trees requi Conti o - T�eL.� ,.Llcense� Sewage System Addres I /'L / Zip . T LL P THIS PERMIT SHALL BECOME VMD IF WORK IS NOT COMMENCED WITHIN 120 DAYS. EES54TION OF'WORK Sewer District FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY, AGREfTHAT ALL WORK IN:CONNECTION WITH THIS PERMIT WILL BE:DONE IN ACCORDANCE WITH T WS OF RIVERSIDE COUNTY AND 'THE 'STATE OF CALIFORNIA. I HERE TJFY THATTHE INDIVIDUAL ON WHO PREPARED THE PLANS•AND SPECIFICATIONS HAS DONE S(7 IN L&I- 281208 (Red 8%79) .(�P s ACCORDANCE 1M171TFI SECTI5541 OF THE Bl1SINESS.AND PROFEWONS.CODE OF THE STATE OF. CALIFORNIA. verifled bqt