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418049 (RER)PERMIT NO. 418049 DEPARTMENT OF BUILDING & SAFETY FIELD COUNTY OF RIVERSIDE Ti l CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ UNITS Valuation J 2ND. FL. SQ. FT. @ Dist I j YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Mech. Fee Dbl $ 4&v DRAINAGE PIPING WALL SQ. FT. @ Construction Fee Dbl $ DRINKING FOUNTAIN dyL SQ. FT. @ . J ..r URINAL 1 ESTIATED CONSTRUCTION VALUATION $ M r� WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN 1 MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) j APPLIANCE DRYER Fee $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Witness 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. SQ. FT. @ c BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @1'/.c SEWAGE DISPOSAL SQ. FT. GAR @ '/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTL Ift MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. fg_ ELECT. FEE �A� ET FEE PLUMB. FEE PERMIT NO. 4180491 Job Address Space 3 �bliS�i�.f��� ip Own r rCc7. Com unity /f r (.'f /A—) Valuation J Datatee `T M/ ,jlu Dist I j [ F.C.C. MH Permit Fee S Micro Film Fee Cop $ Use of Permit ' �/ 3 04 u,!L ` )j © /' .'N Parcel No. � K-' Use/Case No. 16, Ck. By Mech. Fee Dbl $ 4&v PI. Ck. Fee $ Set Backs Lot Size S^' S .++ R G Construction Fee Dbl $ Legal Descriptionf /J ,�w r Electrical Fee Dbl $ Zane 1es1ric116, Group Type SMI Fee $� Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Fi al Date tf- ZIns "- Etor - IUnit Sp. Imp. Fee $ Dental. Fee $ Const. lender Branch Supplimental Permit Numbers � Fee $ e Mileage Mileage Fee $ Address City Zip / 1 Witness Fee $ Reinsp. Fee $ Own /A ni - - Tel. Zip Total Fees S AI�Address ldressssy r „/-/ • ,/ /.w/"''"�✓' ���"� City - / Zip J� %'t �c L.i�' I� M.O. .C. Cash Check Received b Contractor Tel. License# Trees required Sewage 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 r� I H BY AGREE THAT ALL WORK IMCONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH /) 'T T OF RIVERS E 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 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms►_? f _ate 34 r Plenums 8 Ducts 2A Slab Grade /��% 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing j 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final IDA Fireplace T. 0. OP'N 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 (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 I-Aine PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS r t P/ 26 Power Pole 27 Conduit 28 Setvice Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Finql STREET NAME DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE TIME PERMIT NUMBER INSPECTION ADDRESS OWNER BUILDING REMARKS: PLUMBING OWNER/CONTRACTOR TEL.NO. SPACE NO I I COMMUNITY ELECTRICAL MECHANICAL REQUESTED FOR: F] A.M. P.M. U " ETUIES i 11 WED EITHA FRI 281-81 tl/?S. DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE OFFICE DATE TIME PERMIT NUMBER �a� INSPECTION REQUESTED ADDRESS I SPACE N0. FOR: I 1-5-3 J /- OWNER BUILDING PLUMBING REMARKS: COMMUNITY ELECTRICAL I MECHANICAL A.M. P.M. MON []`TUE OWED THUR FRI OWNER/CONTRACTOR TEL.NO. 29446 1145 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 ot-h6r 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 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 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" building permit, rroneously implying that the property owner is provi.ding his or her own labor and material personally. 'Building permits are not required 'to be sigddd'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 -pr at 1.020 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. S.i ncerely, DEPARTMENT OF BUILDING AND SAFETY Leopoldo Rojo, Jr. Director 284-2001 7/80 DEPARTMENT QF BUILDING AND SAFETY COUNTY OF R'IVERSi'DF OWNER -BUILDER VERIFICATION Owner- Address - An "owner -builder" buiJaing 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 opportuni.ty.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 ron- struction of the proposed property improvement (yes or no) 1 e � 2. 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 I' Phone Address City_ Contractors License No. 4: I plan to provide portions of the work, butI have hired the following person to coordinate, supervise, and provide the major work: Name phone Address tY - ------ - - - - --- ---- Contrac ors cense N6.-..777 - - -- _ 5. I will provide some of the work but I have contracted (hired) the fol-. lowing persons to provide the work indicated: Name Address 2 Signature Property-uw:ne_r_L, Social Security Number 1 284-2002 7/80 Phone Type of work Date a NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT r Permit No 284 199 9/74 CANARY—FILE, PINK—APPLICANT Owne G7--c-j- Architect 75-. (" _ Contractor "94:_1 1 b� Z- _EA0W4e � ��- Addres5� k� 1Address--'3"p�L Address(t,�� �3- City t���jj ,mA%4 CAI City_ City-. V_V_� Phone 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 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 sjprop to be occu ied til I (we) have complied with all sof he County of Riverside and the State of California governing said pDATE — SIGNATURE OF OWNER AND/OR AG Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. Ole- USE OF STRUCTURE JOB ADDRESSS3~ ^"' - SINGLE FAMILY DUPLEX _ LEGAL DESCRIPTION OF PROPERTY �- /� APARTMENTS [� AGRIC. El C N N , ` -- COMMERCIAL [] INDUSTRIAL ❑ C COMMUNITY SUBMITTED PLANS LTERATIONS ❑ USE OF P MIT 40 'V i�P�� Z NO. OF - --- ja CASE NO.�� - l7 p Z NO. OF P KIN SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING Q10 ZONE SETBACKS: FRONT Q" SIDE REAR � J m GRADING PERMIT REQUIRED? YES `j NO ❑ LOT SIZE SETBA 9 INANCE. --- OF FEET REQUIRED ON % STREET DAT SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___. t CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET H' oc W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑_ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET:=_. a IMPROVEMENT? YES ❑ NO ❑ O °L DATE -- SIGNATURE OF ROAD DEPT. OFFICIAL I SWIMMING POOLS PUBLIC WSEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ WATER POLLUTION EMARKS �n FLOOD CONTROL AIR POLLUTION W z DIV OF HWY c .4 — YOUR PROPERTY MAY BE SUBJECT TO d c _ FLOOD. RIVERSIDE COUNTY ASSUMES. NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT PERMIT NO. 418049 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE` T, COUNTY OF RIVERSIDE I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST 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 PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL l VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAINI; MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTt'))(DISH) APPLIANCE DRYER Unit GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Demol. 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. SQ. FT. @ c BATH TUB Addre+ss % -./ ��(,�.�.,,,,,�7�-�V' / d�C� SQ. FT. @ c WATER HEATER M.O.V.C. . Cash' Check SQ. FT. RESID @ I t/. c SEWAGE DISPOSAL Contractor SQ. FT. GAR @ s/. c HOUSE SEWER Trees required GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL F�S� L9- <r MOB. HM.FEE MICRO FEE MECH. FEE PL. C . qtr CONST. F ELECT. FEE e� � © E ,..._ FEE PLUMB. FEE PERMIT NO. Job Address Space Zip Own �e-418049 Community '_Valuation E Date Dist. F.C.C. MH Permit Fee E Micro Film Fee Coll E Use of. ermi - Parcel No.se/Case No. rCk. (', /� {/ �' �� a Set Backs Lot Size legal Description /1 S 1"' S R / ,(/.. }' Zone Restrj n Group Type L� j/ /�ifn �/ cZZ `' By Mech. Fee Dbl E PI. Ck. Fee E Construction Fee Dbl E Electrical Fee Dbl E SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Fina ,Date p� — Q Inspect Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimental Permit Numbers Regist, Fee E Mileage Fee E Address City Zip ) Witness Fee E Reinsp. Fee E Own /A nt ( Tel. Zip Total Fees $ Addre+ss % -./ ��(,�.�.,,,,,�7�-�V' / d�C� City / „s Zip M.O.V.C. . Cash' Check Received b Contractor Tel. License# Trees required Sewage System 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. �,jae ' I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH S 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 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. r