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399480 (ELEC)BUILDING PERMIT PERMIT NO. 99480 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD 7'ST I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST Fl. 2ND. FL. POR: GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. .@ $ UNITS Dist. SQ. FT. @ YARD SPKLR SYSTEM SO. FT. @ MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN SO. 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_ Final Date GARBAGE DISPOSAL FURNACE UNIT WALL . FLOOR SUSPENDED :57uv 4w, e_ LAUNDRY TRAY AIR HANDLING UNIT CFM rDLE METER 1 t 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. @ a BATH TUB Tel. SO. FT. @ a WATER HEATER Sew ^ ste SO. FT. RESID @ 1 I/aa SEWAGE DISPOSAL S0. FT. GAR @ s/4a HOUSE SEWER ' GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEESMOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE EiJTL. FEE' SMI FEE FEE PLUMB. FEE t PERMIT NO. 399480 Job Address V Space Zip r — — — �- Owner �,�.,: t"e C u ty cr Int.. (� R fry Valuation S [Criefer' � 1719 s:%h- Dist. Off. I F.C.C. MH Permit Fee $ Micro Film Fee Cop $ se of erdff �i �; l- c c r ii � - � LAG � r Parcel No. r !% �% r,� �. 7 Use/Cas No. Ck. By - •' OSQ Mech. Fee Dbl $aiall-,� PL Ck. Fee $ Set BacksLot Size Construction Fee Dbl S Legal Description siElectrical � e x /'-•�~ �� ,� i 7 /�� F 5 SEP Fee Dbl $ Zone Restrictions Type SMI Fee $ L) Plumbing Fee Dbl S Bond Amt. Plo o. $ Plan Checker "' Final Date InsyM,ectnor' / Unit Sp. Insp. Fee $ NDemol. Fee $ t Const. lender Branch Suglitcil Permit Numbers t Tel. Zip Zip M.O. N.C. Q ' Cash &— E) Received y � t Contrac or Tel. licensell Trees Sew ^ ste Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District t FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. a s •1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE WS 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. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALLFORNIA.,- NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System' '2f Ftgs 8 Frms 34 Plenums 8 Ducts t !'• 2A Slab Grade .35 Furnace Comports ' 3 y Steel 36 Inlets 8 Outlets 4 Grout Blocks 37 Combustion.Air y _' 5 Bond Beams - ..38 Compressor r 1 6 Roof Deck - 39 Appl. Clearonce t 7 Framing - 40 Fire Damper q j 8 Vents 41 Smoke Detection Device i 9 Garage Fire Wall .. d2.'!' 'Commercial Hood 10 Fiieploce P. L. 43, final.:::': - - 10A Fireplace T.O. [`} OW ` ADDITIONAL INFORMATION - - - r ' y - 1 " e i a ' s 1 t 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) 1 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS 15 Ground Plumb _ 16 Water Piping 17 Rough Plumb 16 Vents, 19 Sewage Disposal 20 Sewer 21 Water Heater 22 Water Softener 23 Water Service 24 Gas Test Tank - Pit L. Line r REAR OF PROPERTY LINE , 1 , ELECTRICAL APPROVALS P/L ly P/ f =`r 26 Power Pole 27 Conduit 28 Service Entrance - 29 Wiring .29A Grounding Wire (�—� — — - 298 'Bonding _ 30 Fixtures - 31 Ser,,ice 32 Final STREET NAME i i DEPARTMENT OF BUILDING AND SAFETY COUNTY OF.RIVERSIDE OWNER -BUILDER VERIFICATION ner Address4LeZVeM g/ < �� v 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) 20 I (have/have not) signed an application for building permit .for the proposed work. 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 Phone Address City 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 Xigpat2ugrf Property Owner Date. Social Security Number 284-2002 7/80 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 any 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 bean 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 nemployment compensation contributions. There maybe 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" bui.lding 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 Leopoldo Rojo, Jr. l Director 284-2001 7/80 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 OWNER -BUILDER DECLARATION 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.). 0 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 0 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 Q Certified copy is hereby furnished. Certified copy is filed with the County of Riverside, Department of Building and Safety. Date Applicant n CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE /JC (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 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 �] 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 repres tative of the County of Ri i, ent of Building and Safety to enter upon the pro - pert r which I have app 'ed f is dep it par r the purpose of making inspction---J.) cnd i ture o ica Date Print Applicant 284-2000 7/80 COUNTY OF RIVERSIDE DEPARTMENT OF BUILDING & SAFETY APPROVED BY DATE Approval of these plans sha,-,1no-t bviolat t uof any Of v 3 permit for, or an approval of, anys. 1 ye i :henlans must be keptson the job until) completia� d i �ot 0 1 ��� �„p VU6 br.Naod►7v� b1NInM �a�i� a� �r� an x08 vd3dd3H LL9" Imodo '1 'a MIX NOTICE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199 9/74 t, CANARY—FILE, PINK—APPLICANT Owner�T; iG-/`� 4fi4e' rchitect Contractor 190, ax 5'SIFAddress_'5�K"'412 3-E°d.�2FR Address Address— City l' ) -J '00, T�iiI4 City City_ Phone _ t �_!5�3 Phone Phone 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 o be occupied until ( have complied with all laws of the County of Riverside and the State of California governing said property. DATESIGNATURE OF OWNER AND/OR A Approval by Signature from the Following Departments ist Below Must Be Obtained Prior to the Issuing of a Const ction Permit. (� I SPACE N0. G�/ 1 USE OF STRUCTURE JOB ADDRESS -� erg^ ;Vlony'RQ � lI SIAGLE FAMILY DUPLEX Z �/�/y— LE AL DESCRIPTION OF PROPERTY �% '�� -APARTMENTS AGRIC. 70;e��—� `tt MMERCIAL INDUSTRIAL n j '^ COMMUNITY ALTEIONS n G Z USE OF PERMIT NO. OF SUBMITTED PLANS — _ — CASE NO. Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING --- Q �ZONE ..,, SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # __ OF i FEET REQUIRED ON T EFT 7-- DATE . SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --- t- CURB AND GUTTER REQUIRED: YES ❑ NO ❑ - STREET t- d 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 ❑ DATE J SIGNATURE OF ROAD DEPT. OFFICIAL = s SWIMMING POOLS PUBLIC WSEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS �n FLOOD CONTROL— ONTROLW Z_AIR POLLUTION Y ' • _ DIV OF HWY YOUR PROPEFtTY•MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 t, CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. 399480 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE D/ COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. Fl. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. .La� $ UNITS Zip SO. FT. @ YARD SPKLR SYSTEM,- MOBILEHOME SVC. SQ. FT. @ BAR SINK L SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIP{NG SQ. FT. @ DRINKING FOWL TAl SO. 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 Lot Size GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDEDLAUNDRY Legal )Description 1 0„�• _ 9 ,�C�- . —^� TRAY AIR HANDLING UNIT CFM M ER 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. @ . a .. .BATH TUB SO. FT. @ a WATER HEATER Unit SO. FT. RESID @ 1 t/aa SEWAGE DISPOSAL Demol. Fee $ SO. FT. GAR @ t/4a HOUSE SEWER Branch Supplimentol Permit Numb GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES 'V MOB. HM. FEEMICRO FEE MECH. FEE PL. CK. FEE CONST. FEE E. 00 SMI FEE FEE PLUMB. FEE PERMIT NO. 3 9 9 4 8 0 Job Address ,fG Y �i — 00 Space Zip Owner G /0�� C u ,ty 24 a, , i' Voluotion S t • Dist. Off. F.C.C. - MH Permit Fee S Micro Film Fee Cop S se o erm �i Parcel No. Use/Case No. Ck. By Mech. Fee Dist S PI. Ck. Fee S Set Backs Lot Size Construction Fee Dbl S Legal )Description 1 0„�• _ 9 ,�C�- . —^� F S S R Electrical Fee Dbl S Zone Restrictions Group Type SMI Fee S Plumbing Fee Dbl $ Bond Amt. S Plan o. Plan Checker Final Date — Inspector Unit Sp. Insp. Fee S Demol. Fee $ Const. Lander Branch Supplimentol Permit Numb s s Regior. Fee $ Mileage Fee $ Address City _ Witness Fee $ Reinsp. Fee $ er/ / Tel. Zip Total Fees S O Address City Zip ' M.O. ❑ N.C. ❑ Cash C ec4;2�,r-1 Received Contrac or Tel. Licensell Treo re Sew yste Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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 THELAWS 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. 1/80) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND,PROFESSIONS CODE OF THE STATE OF CALIFORNIA.