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359769 (SFD)BUILDINv PERMIT ' PERMIT 110. DEPARTMENT OF BUILDING & SAFETY;' J J`9'.T 6 9 COUNTY OF RIVERSIDE '4 >r FIELD r DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. . FLL.. �.r -.2NDF SQ. FT. @ Owner r UNITS 4 SQ. FT. @ + r ' ; YARD SPKLR SYSTEM 'v, POR. „" r .As .3 AGAR:. • `CAR P. '' WALL ' ` 1 ESTIMATED CONSTRUCTION SQ; FT @ . r;. ; _ . MOBILEHOME SVC AJ.': , 4. BAR,SINK POWER OUTLETSi SQ. FT. @ ". ROOF DRAINS SQ. FT. @ , _.. ' •� f DRAINAGE PIPING SQ. FT. @ r•' C ' t _' I DRINKING FOUNTAIN SQ.FT. @ % • 'i URINAL VALUATION $ + t± r' WATER PIPING NOTENo(.to.be used,as properry,I4x;ygluaJlori —44-4, , .r SWIM POOLr`PVT4* n: FLOOR DRAIN MECHANICAL FEES Cop E SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL - HOOD Parcel No.. SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Bac GARBAGE DISPOSAL FURNACE UNIT' WALL FLOOR SUSPENDED $ LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. f, Construction Fee Dbl $ ULegal TEMP USE PERMIT SVC' WATER CLOSET COMPRESSOR HP R POLE, TEMP/PERM,, LAVATORY HEATING SYSTEM FORCED GRAVITY Grou AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. '@ t, – BATHTUB Plan No. +' Pron C ecke Y SQ. FT. , @ c. _ WATER HEATER Inspector ��/f� Unit SQ. FT. RESID @I 1/4c; ., SEWAGE DISPOSAL S S0. FT. GAR @ 'G c + HOUSE SEWER - SupplimenI rmit Numbers '• 'w , GAS PIPING PERMIT FEE j s Address - 1 - City Zip •f PERMIT FEE 1 PERMIT FEE DSL. s.h •.w`: �.r.TOTAL-F.EES .•fir• MOB:HMrFEE . •MICRO FEE , v;r MECH..:FEE,.�� w ,PL.CK:'FEE,• } - •CONSL•fEE, ,: k ��ELBCf. EF' .. fey SMI FEE o� FEE PLUMB. FEE PERMIT NO.' Job Address � ' S' pce Zip Owner r 3'59769 Communi _ y I r •%7 al a ion• $ 0 Da e .y D�. Off. F.C.C.t - MH.Permit Fee E Micro Film Fee Cop E Use o ermi( " •' Parcel No.. -A,No, Ck. y Mech. Fee Dbl $ Bac Lot Size '704 PI. Ck. Fee $ $�•,^%JGt:- a; .."CJ r' _ ��•� f, Construction Fee Dbl $ ULegal Description - ` ' x r ' �/ s �} %. % +3 /v /Cy? L67Y 7 `% F +. S S R Electrical Fee Dbl E N Zone est ations` �` Grou Typ /•E• Z:' ' SMI Fee j'' s Plumbing Fee Dbl $ Bond Amt. $ Plan No. +' Pron C ecke Y C ' Final Dat Inspector ��/f� Unit Sp. Insp. Fee $ Dental. Fee S Const. Lender - D1,� Branch t - - SupplimenI rmit Numbers '• 'w , Registr. Fee :. i. $ Mileage Fee x s Address - 1 - City Zip •f Witness Fee - $ Reinsp. Fee- • $ . Owner/Agent - s ♦♦�• yy//str' Tel.' y; { Zip Total Fees .•.,La.e.r"Sri Y-_ •K,' P AddieasY w rK, i'�l ✓!:}.'r-�?�•+.; *t.'.. �� : -.City L' Zip t`r h ' M.O N:C: Cosh Check "" F✓6�'-"� Received by a Contractor }r}^ , - .Ir •t Tel. f- �` License# 44 frees required Sewage System '� ° Address -r Cit a Y a Zip r LL .•1;4 R r_4 ,.w•t THIS PERMIT SHAW 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 HEREBY AGREE THAT ALLpf�jp>SI THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE CO N THE' ATE OFCALIFORNIA. r 1 HEREBY CERTIFY THAT THE INDIVIDUAL 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. Form 284-208 (Rev.8/78) t 0, verift-d by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE %` INSPECTOR BUILDING APPROVALS. MECHANICAL APPROVALS 1 Set Back 3,%y . 33 VEntilation System } 2 Ftgs 8 Frms ?J _ag r f— 34 Plenums & Ducts 2A Slab Grade —'L qv— 7 35 Furnace Comport. 3 Steel 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams 38 Compressor 6 Roof Deck Jf — 39 Appl. Clearance 7 Framing 6",2 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P. L. O 43 Final IDA Fireplace T.O. OF°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 REAR OF PROPERTY LINE ELECTRICAL APPROVALS PSL P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final c)r f STREET NAME I NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 1` 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner FA J✓e Architect—x�" _ Contractor—_!5;4"Pf — Address_) l q $ O jP6Oti Address___ Address _— -- City �+ 7%1�T¢ City— City— 'J `�' Phone r;� Phone _ Phone— ce 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. 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. 1 f DATE SIGNATURE OF OWNER AND/OR AGENT _ i� Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of `a Construction Permit. '5?2 aS' 3 Is ACE N0. �j I USE OF STRUCTURE d yL } JOB ADD RESS/�"!__O_ _! y SINGLE FAMILY DUPLEX LEG ESCRJP ION OF PROPERTY _ Z W O I —----,%� A�RT%�AE TS' / AGRIC. 0 �'L < SL'D— MMER AL INDUSTRIAL 5 5 '^ O G tiT ❑ COMMUNITY ALTERATIONS O Z NO. OF SUBMITTED PLANS — US/EO)F' P/MII�T/ r �/7� //�—� j4 CASE N0. r p Z NO. OF P KING SPACES REQUIRED NO: OF BUILDINGSNNOW ISTING Q ZONE ETBA(fKS: FRONT itlnff V S I D E ZEREAR sr J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ ; . LOT SIZE SETBACK ORDINANCE OF FEET REQUI DON ' —STREET DATE ._/_/ _ SIGNATURE OF LAND E OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— H z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET ccH a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ lu HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O o� DATE SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC H W SEWAGE DISPOSAL Q — _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS %A FLOOD CONTROL t— W AIR POLLUTION _ DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF,FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT 5'• MIT NO. -1 PER, DEPARTMENT OF BUILDING G & SAFETY':' COUNTY OF RIVERSIDE C"" DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. ,w,,2ND.,FL. POR:• ,. 4 ��,,�AR P. - ,-s", WALL \�ZIEIS"TiA*AATED CONSTRUCTION SO. FT. @ $ UNITS SQ. FT. @ YARD SPKLR SYSTEM MCjBILEHOME SVC ""l' 1;� BAR SINK 401110 POWER OUTLET SQ1. FT. @ ROOF DRAINS At�gy 7. SQ. FT. @ DRAINAGE PIPING SQ. FT. @ _-e DRINKING FOUNTAIN @ URINAL VALUATION $ WATER PIPING &lf'WTE�:106t fl? -be sv6iWp66C' FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM F%+N . EVAP. COOL HOOD ISIGN 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 POLEJEMP/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. @ C, BATH TUB 0 ne i w �Agen: > WATER HEATER SQ_FT,.-RESID bI Vic' SEWAGE DISPOSAL . -y Zip C SQ. FT. GAR @ 1/k HOUSE SEWER '• GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE TOTAL FEES MOB: HM.FEE 'MICRO FEE -�,MECH.'FEE?-' -_!PC. CK. FEE -' I,, ICONST.'FEEJ- '+U ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. Job Address • Space Zip Owner 5, 3,97 4c"Zae, + Commnity Valuation Dote Dist. Off. F.C.C. ZA �V,,^,gr,47 QMH Permit Fee$ $ M160 Film Fee Cop $ Use of'Permit Porcel No: Use/Cose No. Ck.By ,.Mech. Fee Y DbI $ ""Co el B Lot Size F e�. $ Pke J A S S •Fee Legal Description •F C onstruct'on DbI $ -3a• 'il.c1fical*Fee DbI 1$ A, Zone Restrictions :R Group Typlff Aw iPWmbirig 4. DbI $ Bond Amt. $ 0 0 No. Plan Checker Final Dote Date� spe Unit 'Demg. Fee $ Canso. Lender s Branch Su plimental Permit Numbers I 1Z Reglstr�'Fee Mi qo, e Fee $ 1 Address City Zip vvo.s, Fe; $ 0 ne i w �Agen: > TeQ'' Zip . -y Zip C e, '• N.C.C.M'CcshCheckja'Xddr;S:-s k'e : -j. Contractor TO.', License# Tree required ol Address t f A 4 City Zip LL 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 CAUS TO I HEREBY AG' g,,ERMIT — B�CQME -VOID. *, PERMIT WILL BE DONE IN ACCORDANCE WITH REE THAT ALLTHIS •THE LAWS OF RIVERSIDE COLTt's 4N D H/CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ! CCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) J J U