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426149 (ELEC)�tir�xrti—rerc�,rrr PERMIT -NO. -426149 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Zip i Owner NO. PLUMBING FEES IST FL: 2ND. FL. POR GAR. CAR, P... WALL ESTIMATED CONSTRUCTION SQ. FT; @ UNITS SQ. FT. @ YARD SPKLR SYSTEM SQ FT @ MOBILEHOME SVC. BAR SINK POWER OUTLET SQ..FT. @ ROOF DRAINS SQ. FT, @ DRAINAGE .PIRNG SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Use/Case No. Ck. By lot Size R Type FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM Electrical Fee DbI s WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN '4SHER;,(AUT10)(DISH) " APPLIANCE DRYER Dbl $ Bond Amt. GARBAGE°DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FiooI Dat / 6 � I ector LAONDRY'•TRAY -:I AIR HANDLING UNIT. CFM IDLE METER Sp. Insp. Fee KITCHEN'SINK' ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING'SYSTEM FORCED GRAVITY PERES SERV ENT Supplimental Permit Numbers , u SHOWER BOILER B.T.U. SQ. FT. @ < Address City Zip BATH TUB Reinsp. Fee SQ. Fr. '@ Owner/Ageni WATER HEATER Zip SQ. F.T. RESID @11/4 Total Fees SEWAGE DISPOSAL Address •� - SQ. FT. GAR @ %c Zip HOUSE SEWER Cosh Check GAS PIPING PERMIT FEE PERMIT FEE Cont, PERMIT FEE DBL. FEES MOB. HM. FEE Q 0 101zQ� MICRO FEE MECH. FEE A., CK. FEE CONST. FEE A AM&. FEE, SMI FEE FEE PLUMB-. FEE _ —PERMIT NO. - ^^� Job Address - - ~--Space Zip i Owner 4 2 614 9Community Valuation - s Dore f Diet. Off. F.C.C. �. MH.Permit Fee s Micro Film Fee Cops ne o_f 14..m rcel No. / /�40 A/V/��y' �v Back, , ,� et Backs Legal Description F S S Zone Restric " ns Group Use/Case No. Ck. By lot Size R Type Mech. Fee Dbl $ PL Ck. Fee $ Construction Fee ' Dbl $ Electrical Fee DbI s SMI Fee $ Q►+, Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker FiooI Dat / 6 � I ector Unit . Sp. Insp. Fee j Dental. Fee Is Const. Lender Branch Supplimental Permit Numbers , ' d Fee s ie ieage.Fae s Ml Address City Zip Witness Fee s Reinsp. Fee $ Owner/Ageni Tel. Zip Total Fees Address •� - City Zip M.O.rl N.C. Cosh Check Received 6y Cont, Tel. License# Trees I VI A4 4 - Addres CI p , Sewage -SystemZi T LL P 'Sewer District Form,28420B (ReV.BF78) QP 5 THIS PERMIT SHALL BECOME VOID IF WORK ISNOT 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 IN.CONNE�kION V.'iTFF!THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE S OF CALIFORNIA. i I HEREBY CERTIFY THAT 'THE INDIVIDUAL.WHO PREPARED THE PLANS,AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WRH.SECTION'SUI OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPVYOR BUILDING APPROVALS - MECHANICAL APPROVALS 1 Set Back 33 Ventilation System , 2 Figs 8 Frms 34 Plenums 8 Ducts 2A Slob 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,O. E] OpN NO. ADDITIONAL INFORMATION SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 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 Pk LLine PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P) 26 Power Pole 27 Conduit ✓ D 28 Service Entrance 29 Wiring 29A Grounding Wire © 298 Bonding 0_ 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 J / i Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner Architect _ Confractor__SLIA15111 Address 'S'% O 2-0 z9i c e n o6r_ Address_— Address P_•F? • _&2 _'- 7,02 city(.j* +Jf A City--- CityF4esh / C R Phone Phone _ Phone._'ZLOL I (we) the undersigned, .hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and W 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 occupie ntil I (we) have complied with all laws ofCounty of Riverside and the State of California governing said property. s?// DATE j Cl t/ SIGNATURE OF OWNER AND/OR AGENT Approval by Signature from the Following Departments Li elow Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. (/` 1 USE OF STRUCTURE JOB ADDRESS `O7"f cp-.� ps�u I >_ SINGLE FAMILY ❑ DUPLEX ❑ ROPERT`Y �_ LEGAL DE/SCRIPTI�;�f Z ~- O (/��F -tel--�' ��S_ —r _ .. y� # l � APARTMENTS � AGRIC. ❑ "�! c - rWi. w N t COMMERCIAL ❑ INDUSTRIAL ❑ G COMMUNITY A J, r ALTERATIONS ❑ C Z NO. OF SUBMITTED PLAN — USE DF P, RM_ CASE N0. --1� Awo 06 Ob p Z NQ. OF P KIN PACES REQUIRED N0. OF BUI NGS NOW EXIS ING� < ZONES] ETBAG'KS: FRONT SIDE REAiji.- m GRADING PERMIT REQUIREp? YES ❑ NO ❑ LOT SIZE 6a�00._ _z _� SETBACK ORDINANCE N OF FEET REQUIRED ON A STRE T DATE,) SIGNATURE OF LAND USE OFFICIA F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET W CURB AND GUTTER REQUIRED:. YES ❑ NO ❑ STREET i 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 OIMPROVEMENT? YES NO ❑, °L DATE SIGNATURE OF ROAD DEPT. OFFICIAI Z SWIMMING POOLS PUBLIC SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS FLOOD CONTROL H W AIRPOLLUTION m _ DIV OF HWY H c a — YOUR PROPERTY MAY BE SUBJECT TO d c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING�AND SAFETY I APPLICATION CERTIFICATE COUNTM'OF RIVERSIDE ...; 1 PERMIT # Effective July :1, 1980, Chapter 1301 Section 19825 ,of the Nirilth 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:. [] 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 0 -to License No. 3/„ 950a Date__j:e ontractor -_f A_/,4p a,,, M 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.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 I am exempt under Section , B:BP.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'(Sec. 3800, Lab. Code). Policy .No.,co -20 -.3R 7 - / 0,') A6S Insurance 4 2 3� , ri k -7-a,c , rn . Q Certified copy is hereby furnished. Certified copy is filed with the Coup y of iv�ersde, Department of Building and Safety.. Date Applicant_ Q 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 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 issue1d ( ec 3097, Civ.. Code). Lender's Name A Lender's Address ,- DI.VISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION 0 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.) 0 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. 0 Division of Industrial Safety Permit No. Date ' / / 6 / Applicant CERTIFICATE OF'OMPLIANCE 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 repsentativo%of'the County of Riverside, Department of Building and Safety to enter upon the gro- pe y r 'ch'.I have applied for this permit for the purpose of making inspections.. gnat-ure of pp cant gent Date Print Applicant/Agent Name 284-2000 7/80 BUILDING PERMIT PERMIT NO. 426,49 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 15T fl. SQ. FT. 0 UNITS 2ND. EL. SQ. FT. @ _ CommunityJ*Vo14"6001' ,.,; YARD SPKLR SYSTEM POR. SQ Fr. @ MOBILEHOME SVC. BAR SINK , GAR. $Q, FT. @ POWER.OUTLET ROOF DRAINS CAR P. SQ. FT. ® . Cop $ - DRAINAGE PIPING WALL SQ. FT: Use/Case No, rl DRINKING FOUNTAIN SQ. Ff. @ 'PI. Ck. Fee _ S�w URINAL ESTIMATED CONSTRUCTION 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 Pond Amt. $ S± iARBAGE'DI.S.POSAL FURNACE UNIT WALL FLOOR -SUSPENDED Fino Date- LAUNDRY'OAY AIR HANDLING UNIT CFM IDLE METER KITCHEN=SINK ABSORPTION 'SYSTEM B.T.U. TEMP: USE PERMIT SVC WATER, CEOSET COMPRESSOR. HP POLEJEMP/PERM LAVATORY' HEATING SYSTEM FORCED GRAVITY "PERES SERV ENT SHOWER. BOILER B.T.U. SQ, FT. @ E BATH TUB Owner/Agent r SQ. FT: @ t WATER HEATER Zip SQ. FT. REBID (0 1 V4 c SEWAGE DISPOSAL &=actAddress-City ash Cha jr SQ. FT. GAR HOUSE SEWER Zip Received' b frees required GAS PIPING PERMIT FEE Tel _ PERMIT FEE PERMIT FEE DBL. FEES I MOB.HM:FEE MICAWEE MECH. FEE 11L CK, FEE CONST. FEE .. ,SMI FEE FEE PLUMB. FEE I t ., PERMIT NO. 426149 Job Address - S-6� Space Owner _ CommunityJ*Vo14"6001' Q� Dote Dlsl., F.C.C. MH;Permit Fee $ .Micro Film Fee Cop $ - Use of P imil /moo'io S'v�. ••✓✓✓���Sii �% / J 7/� ParcelNo.. - r— 7- o as Use/Case No, rl Ck. By Mech. Fee Dbl E 'PI. Ck. Fee _ S�w Set -Becks lot Size Construction, Fee Dbl $ Legoll Description(yfY/ f� _f+l+�" r F S - S R ElechlcaLFae Dbl ; SMI Fee Zone Restrioltiris Group Type Plumbing Fee Dbl >; Pond Amt. $ Plan Nb. Plan Checker Fino Date- Inspector Unit ,Sp. Imp. Fee - f Denial. Fee S Const. Lender Branch _ Supplimental Permit Numbers ' Registr. Fee $ Mileage Fee $ Address City Zip ` Witness Fee $ Reinsp. Fee Z Owner/Agent r Tel. Zip Total Fees M.O. V.C. &=actAddress-City ash Cha jr Zip Received' b frees required on : r t /q,a �j'/ �G,.�6./a- Tel _ .License# Sewage System A{dr F &Q� Zip T LL P Sewer DOtrid For. 284.208 (Rev.WB) ©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 IN CONNECT40N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE-[NDIVIDUAL 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.