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418002 (RPL)PERMIT NO. w 418002 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD Fj6'l,T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES UNITS Zip IST FL. SQ. FT. @ 2ND. FL. SQ. FT. @ YARD SPKLR SYSTEM ;, "r r . _ MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ _ Community / Va uanon E CAR P. SQ. FT. @ DRAINAGE PIPING SQ. FT. @ Dist. DRINKING FOUNTAIN /WALL SQ. FT. @ -' nO" URINAL C ) E01MATED CONSTRUCTION VALUATION $ MH Permit Fee 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 Cop j GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 'FF^�} 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 S0. FT. RESID @1'/.0 SEWAGE DISPOSAL ^ i SQ. FT. GAR @ 1%c HOUSE SEWER Zone Restrictions Grou GAS PIPING PERMIT FEE SMI Fee PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELRCT. IFEE- SMI F FEE PLUMB. Bond Amt. Plan No. Plan Checker I Insp for vw ' PERMIT NO. Job Address !`Tr Space Zip Owner 1418'0 ;, "r r . _ 021 _ Community / Va uanon E O" Date Dist. Off. F.. C. MH Permit Fee $ - �d 0— —Micro Micro Film Fee Cop j Use of Permit "'' " •/ ! �� �. TT l� 'FF^�} arcel No. Use/Cos o. Cft:'By Mech. Fee Dbl $1z1*14 PI. Ck. Fee $ et Backs Lot Size F S S R Construction Fee i Dbl S Legal Description / Electrical Fee Dbl $ ^ i 1 /� i'" s ,4 , a 7 Zone Restrictions Grou Type SMI Fee $ c� Plumbing Fee Dial $ Bond Amt. Plan No. Plan Checker Final Date Insp for Unit Sp. Insp. Fee E E Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers . Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address ` City Zip M.O. N.C. Cash Check � l Received by Controlc or `= ` %� r:/- "+-''� / .1 R,- C-, Tel. License# Trees require ,/' Sewage System—'*'.- `Ad''6 N V ..d Zi p 1 ^i 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. ,.t 1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THLJAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. IFY 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. prified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE .• INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms �1r7 _81 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel �� _ 1 36 Inlets & 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. 0. OP'N NO. ADDITIONAL INFORMATION < - SEWAGE SYSTEM SIZE & LOCATION 11. Exterior Lath 12 Internal LathOU� 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown)5 14 Final PLUMBING APPROV4-LS 15 Ground Plumb 16 Water Piping 17 Rough Plumb _ ZD .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 PSL i \ z �, P/ 26 Power Pole 27 Conduit 28 Service Entrance Wiring � 29A Grounding Wire 29B Bonding 14 r �` 30 Fixtures 31 Service 32 Final STREET NAME ;•PM ' 54- U:<O Cp. LU p -p . Z.• w ,w f 0- QTZ Da uJ Uj Coping 12" .j S e it By Name ! y9'i i I t Address Prints City L Fi CSU Cross Streets COUNTY OF RIVERSIDE Phone: - Pool Capacity 00 Gals. Pump Capacity 'Z G.P.M. - Filter Q Sq. Ft. Pump H.P. _ Filter Rate % G.P.M. Turnover 4! ! . C? Yti fa., rsj. N. Vacuum Line & Skimmer ' Return Line Main Drain Skimmer -� Backwash tb Anti -Syphon Valve V C $ Heater +rte+ ° Size B.T.U. a permit for, or an approval of, any violation of any of the rovisions of the state or county laws. This Gaseline by: C4 - a ! SHALLOW Electric by: -; ,• :. Light 14x END Time Clock M Decking 7 0-7(T Board Color {. Slide )Color .� to S e it By Name ! y9'i i I t Address Prints City L Fi CSU Cross Streets COUNTY OF RIVERSIDE Phone: - DEPARTMENT OF - BUILD `G & SAFETY _ AP ' B -� ATE Approval of these plans shall ` not be construed to be DEEP END _ -.;w - `ti a permit for, or an approval of, any violation of any of the rovisions of the state or county laws. This a ! SHALLOW -; ,• :. ser olans must be kept on the yob untll completion. END ' o OASIS -POOLS, 82.313 EL PASEO AVENUE INDIO, CALIFORNIA 92201 (714) 346-8650 X347-4850 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 € CANARY—FILE, PINK—APPLICANT Owner �� Architect Contractor�� Address, 1:1SM4 "(Address Address_ City 1(4 „1/a 11A City City_ -7`a) iD Phone Phone Phone z<4? IC Si D 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 said property to be occupied until :I (we) :have complied with all laws of the County of Riverside and the State of California governing said property. j—, DATE !�'� SIGNATURE 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. S,PACE N0. �dd 7� 1i USE OF STRUCTURE JOB ADDRESS. -� 7�/ ��rJ/-J f �l��e%� SINGLE FAMILY" DUPLEX Z h— LEGAL DESCRIPTION OF PROPERTY :2Z2�9 fAPARTMENTS AGRIC. Q r �/FCOMMERCIAL E] INDUSTRIAL LJ GCOMMUNITY _• + ALTERATIONS n Z NO. OF SUBMITTED PLANS — _ USE OF PERMIT N Q CASE NO. 1 � t7 c Z NO. OF PARKING SPACES REQUIRED NO. OF BUILDINGS NOW E IS'TING --- Jo ZONE TSETBACKS: FRONT SIDE REAR D GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # _— OF FEET REQUIRED ON STREET DATE—' _�/ SIGNATURE OF LAND USE OFFICI F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET___ r CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H oc 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 = SWIMMING POOLS PUBLIC AL W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS �n FLOOD CONTROL— z AIR POLLUTION _ DIV OF HWY YOUR PROPERTY BE SUBJECT TO MAY FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. t 284 199 9/74 € CANARY—FILE, PINK—APPLICANT DEPARTMENT OF BUILDING AND SAFETY APPLICATION CERTIFICATE COUNTY OF RIVERSIDE PERMIT N Effective July1, 1980, Chapter 1301 Section 19825,of the H"I th 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 = $3 License No. 'Z7 3 �f 7 Date el— 17 '1 Contractor m 1 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reasons: (� 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.). [.---] 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). i Policy No. Insurance >C( t' p" c, ti -T ,V d F✓LI 0 Certified copy is hereby furnished. r Certified copy is filed with the County of Riverside, Department of Building and Safety. Date !f-'� Applicant 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 G/ / �S� 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 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.) 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 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- perty fo which I have apploie for this permit for the purpose of making inspections._ h Signature of Applicant/Agent Date Print Applicant/Agent Name 284-2000 7/80 BUILDING PERMIT PERMIT NO. 418002 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE DST COUNTY OF RIVERSIDE F,� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. POR. GAR. CAR P. WALL 6 0 ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. 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 R GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Group 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. @ t BATH TUB ' SQ. FT. @ c WAFER HEATER Address City Zip SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Owner/Agent SQ. FT. GAR @ 1% c HOUSE SEWER Zip Total Fees E'Address M.O. 0 N.C. Cashrl Check GAS PIPING PERMIT FEE PERMIT FEEPERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE CT. EE 10� SN�,�E6j FEE PLUMB.FEE PERMIT NO. 418002 Job Address Space j Zip Owner Community 1 Valuation Date Dist. Off. F.C.C. L MH Permit Fee E Micro Film Fee Cop E Use ofPermit' yJ •�// . Y ! Parcel No. —V'4i " Use/Case No. Ck. By —4 Milch. Fee Dbl E Pl. Ck. Fee E Set Backs Lot Size Construction Fee Dbl E Legal Description ,�/fj �, `_ �i //��./�C�,/- 4yC� / ��JJ {� c.�"��i" F s S R Electrical Fee Dbl E Zone Restrictions Group Type SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date Inspect Unit Sp. Insp. Fee E Dental. Fee E ` Const. Lender Branch Supplimental Permit Numbers ' Regisir. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip Total Fees E'Address M.O. 0 N.C. Cashrl Check / /l// _ City Zip Received by Con c o Tel. License# Trees require Sewage System Aldress Y ' 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 T F~S OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. t�HERE TIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Re,8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.