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426271 (BLCK)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY MD; 426271 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE- NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS 1426271 IST fl. SQ. FT. @ 2ND. FL. SQ. FT. @ YARD SPKLR SYSTEM Communily - { MOBILEHOME SVC. BAR SINK POR. SQ. FT. @ Off. �%' F.C.C. MH.Permit Fee E POWER OUTLET ROOF DRAINS GAR. SQ. FT. @ Use/Case No. - Ck. By Mach. Fee Dbl E DRAINAGE PIPING CAR P. SQ. FT. @ Pl. Ck. Fee E l' 7 DRINKING FOUNTAIN v WALL SQ. FT. @ 5 S R Electrical Fee Dbl E Zone Restrictions • ' URINAL SQ. FT. @ SMI Fee E Plumbing Fee Dbl E ESTIMATED CONSTRUCTION VALUATION $ Plan No. WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEE$ SWIM POOL, COMM WATER SOFTENER " VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) ., APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 Address SQ. FT. @ c WATER HEATER THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION Of WORK verified _ FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORKIN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH SQ. FT. RESID @1'/.c SEWAGE DISPOSAL �; SQ. FT. GAR @ 3%c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FFA ELECT. FEE SMI FEE FEE PLUMB. FEE I PERMIT NO. - _ — `,!J('j�(J - _ _ - _ Job Address - -_� — — — ^� _ �- + ... — _! Space Zip _ Owner 1426271 1 Communily - { Valuation J E Date ' 1•�i?' Dist. Off. �%' F.C.C. MH.Permit Fee E Micro Film Fee Cop E use of Per � t (` ����• r -'V Parcel No. Use/Case No. - Ck. By Mach. Fee Dbl E Set Backs Lot Size Pl. Ck. Fee E l' Construction Fee Dbl E Legal Description F ' "J 5 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 Inspector Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimental Permit Numbers Regisir. Fee E Mileage Fee E AddressJ Ciry Zip Witness Fee E %d Reinsp. Fee E 4er%R1gehr Tel. Zip Total Fees E / Address - Zip M.O.M N.C. Cash CheckV "�—"...if.,.� r' � ./.,�.. ,• , Received by .� Contractor Tel. Licensed Trees requir dr _h'^ Sewage Sys'Eem Address City Zip THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION Of WORK verified _ FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORKIN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH T LL P Sewer District to �; THE LAWS 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. NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back - 2W 33 Ventilation System 2 Ftgs 8 Frms ) J� 34 Plenums 8 Ducts + 2A Slab Grade 35 Furnace Comport. 3 Steel � — 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 6 Bond Beams: Roof Deck 38 39 Compressor Appl. Clearance 7 Framing 40 Fire Damper 8 Vents M Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T.O. C] OP'N 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 (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 L.Line P/L REAR OF PROPERTY LINE ELECTRICAL APPROVALS I P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOT:CE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owne O ✓ Architect _. Contractor__.— _ Address.��e�—� _ dress--- Address---- ---- City� City_— City - '/ Phone � �� Phone _ Phone—. 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. 1 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. 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. I SPACE NO. Ste/ n �%� �& e& pf�I USE OF STRUCTURE JOB ADDRESS _ SINGLE FAMILY DUPLEX El >- Z w L GA DESCRIPTION F PROP RTY ^/ �� - APARTMENTS AGRIC. LL COMMERCIAL INDUSTRIAL LJ 4 COMMUNITY G • i ALTERATIONS z W NO. OF SUBMITTED PLANS -- SF nF PF_,RMIT — Q �+ CASE NO. p Z NO. OF PARKING SPACES REQUIRED -- NO. OF BUILDINGS NOW EMSTING _ Q Q ZONE )e —Z SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK 0 INAN E # OF FEET REQUIR ON BEET DATE SIGNATURE OF LAND USE OFF F, DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET_ CURB AND GUTTER REQUIRED: YES O NO M —STREET t- 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 D C IMPROVEMENT? YES [INO ❑ °C DATE __ SIGNATURE OF ROAD DEPT. OFFICIAI Z SWIMMING POOLS PUBLIC Q w SEWAGE DISPOSAL FOOD ESTABLISHMENT _ NATER POLL'UT10NI REMARKS ONTROL FLOOD CONTROL— AIR ce AIR POLLUTION _ DIV OF HWY c YOUR PROPERTY BE SUBJECT TO _ MdY c FLOOD. RIVER5,IDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DEPARTMENT Q'F BUILDING AND SAFETY COUNTY OP -RIVERSIDE OWNER -;BUILDER VERIFICATION ne CJI F vdd res r n An "owner builder" builaing permit has. been applied for in your name and beari.ng 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) 2. I. (have/have not) ti�_C 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 Address Contractors License Phone ty 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 phen� Address. ty - Contrac ors cense o,....... - 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 'Signature PPopertyOwner Ddte i 284-2002 7/80 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 impro.vements 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 of -her 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 an persons other than your immediate family, and the work (including materials and other costs is $200 or more-fo.r 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 providing his or her own labor and material personally. Building permits are not required'to be sig 0d'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 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. Sincerely, DEPARTMENT OF BUILDING AND SAFETY I Leopoldo Rojo, Jr. Director 284-2001 7/80 BUILDING PERMIT PERMIT NO. 4 2 6271 PERMIT NO. r� r� -7 G Job Address,r,.. Space DEPARTMENT OF'BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICEFiL DST CLON(STRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST fl. 2ND. FL. POR. GAR. CAR P. 'SQ. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Use ofPermit (,Cj GIX�/1 �iJf+'/ �/L!�'/��.•)// SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS 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 Demol. Fee S GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Regislr. 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. @ < BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @I'/, t SEWAGE DISPOSAL SQ. FT. GAR @ '/4 C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL EE,S,��'^ MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEB ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 4 2 6271 Job Address,r,.. Space Zip Owner m Comunity j,. Valuation CI` 1: G1 $ Date 7 Disjt. Off. F.C.C. MH Permit Fee . S Micro Film Fee Copl$ Use ofPermit (,Cj GIX�/1 �iJf+'/ �/L!�'/��.•)// Parcel No. / Use/Case No. .ii'' Ck.. By Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Legal Description JC..�/ %��-•-/ F S S R Electrical Fee Dbl $lr� Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dial $ Bond Amt. $ Plan No. Plan CheckerFino Date p � -' Inspector Unit Sp. Insp. Fee $ Demol. Fee S Const. Lender Branch Supplimentol Permit Numbers Tel. --� Regislr. Fee $ Mileage Fee $ Address . Cin, Zip /,,I lin?/J�l�� X Witness Fee $ Reinsp. Fee $ 1-bAerAgen"t�r�. Total Fees $ Addresses City � J Zip M.O. N. Cash Check Received by Contractor Tel. License# Trees requir d ( , Sewage System T LL P Address City Zip THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verifled by. 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 THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Sewer District 0 5 I ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.