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385010 (BLCK)0W1Lv1r %P rcumn PERMIT NO. DEPARTMENT OF BUILDING 8 SAFETY MDST3850.10 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS oluation .. rs19 2ND. FL. SQ. FT: @ Off. YARD SPKLR SYSTEM POR. GAR. SQ. FT. @ MOBILEHOME SVC. BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS tr CAR P. WALL SQ. FT. @ Set Backs DRAINAGE PIPING ' SQ. FT. @ '� DRINKING FOUNTAIN SQ. FT. @ ESTIMATED. CONSTRUCTION VALUATION S Electrical Fee Dbl $ URINAL 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 i Sp.•Insp. Fee $ GARBAGE DISPOSAL FURNACE UNIT • WALL FLOOR SUSPENDED Supplime t Permit Numbers' / LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B. T. 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 Trees required �iL..%tS- SQ. FT. @ c WATER HEATER Clty ��a l e,il�rt,,,t•••,: d:.,a,,:.�,-.— � .� �.. � ._- SQ. FT. RESID @1'/.0 SEWAGE DISPOSAL SQ. FT..GAR @ 3i. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE , DBL. T/jpqL MOB. HM. FEE _ MICRO FEE MECH, FEE PL. CK. FEE CONS T F&P F ELECT. FEE 0 @/ SMI FEE FEE PLUMB. FEE PERMIT NO. — — f^( 1 '� v 5 0 �+ 0 --_ JoFLAddress( J-^ _�. ` I Space- r i•/,j `vk/'1h.`i:✓ 4d' -•' f+..L✓ .%✓ 7' Zip ` '' L� Owners ms's+ �.'w'"" "Z„� C�o��''n!fity "'.J�w..r oluation .. rs19 Date Dist. Off. F.C.C. 'MH.Permit Fee $ .Micro Film Fee Cop $ Use of Per(hiV . / /� j! • �'.��J a.i ash .� / Parcel No. / / I ,3MI � 3— ,0 1 Use/Case No. - Ck. By Mech. Fee Dbl S. 'Pl. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ (p' �% Legal Description // .....' 0 �` •C�'� F S 5 R Electrical Fee Dbl $ Zone Restrictions_ lci.1►• !/ Group Type SMI Fee $ "Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date — Inspector �� Unit i Sp.•Insp. Fee $ iDemol. Fee $ Const. Lender Branch Supplime t Permit Numbers' / Registr. Fee $' Mileage Fee $ AddP . Cit Y Zip e Witness.Fee $ Reinsp. Fee $ Owner/Agent - Tel. Zip Total Fees $ Ar A dressJ� r �` l x f I ` / // ! fV^ j ,�f .'! ILL City Zip _ - ! M.O. N.C. CashJt�Check Receivedby �% � ^ Cont"�(d/tor' .� ✓_ 11 �+- TeJj �i '{_ % ( C •:7 '� ! Licenseq Trees required �iL..%tS- Sewage System Address � ` � �,! ..rid' t� Clty ��a l e,il�rt,,,t•••,: d:.,a,,:.�,-.— � .� �.. � ._- T LL P 'Sewer District Form 284-208 (Rev.8/78) . ©s j•� 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 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 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 I Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums B Ducts 2A Slab Grade 35 furnace Comport. 3 Steel 36 Inlets 8 Outlets , 4 Grout Blocks 37 Combustion Air 5 Bond Beams 3B Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 2 r �3_ 77 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. FI 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 PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME I? t NOTICE: THIS;:;,M`NOT A BUILDING PERMIT DISTRICT APPLICATION TO. CONSTRUCT Permit 'No ' DEPARTMENT OF BUILDING AND SAFETY { COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT %Owner L4 �, F i Architect 145196 03n1ez1,6'A4Address___ S3 g -a-,., Address City Q/,l"7_11 0,4 City— City_s9,VW l!��L( Phone Phone cc I (we) the undersigned, hereby certify andacknowledgethat 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 causesaid property be'occupie unI I (we) have - complied with all laws of the County of Riverside and the State -of California governing said property. d DATE __.—__— SIGNATURE OF OWNER,AND/OR AGENT Approval by Signature from the,Following Departments Listed Below / 3S_ -3-7 Must Be Obtained Prior to the Issuing of a Construction Permit. I'SPACE N0. USE OF STRUCTURE �S� w } JOB ADDRESS ' —�.gINGLE FAMILY DUPLEX _� O P ERTY F LE L'DESCRIPTION / / _ APARTMENTS AGRIC. I O LL H Q c ----,��—L_.__�J_� r COMMERCIAL INDUSTRIAL n '^ COMMUNITY AL ERATIONS n GNO. Z OF SUBMITTED PLANS _ USE O_ IT . j � CASE N0. --f - Z NO. OF P KING SPACES REQUIRED — 1 NO. OF BUILDINGS NOW EXISTING -- ,,Q ZON(�ETBACKS:.,F.RONT" SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE 12 SETBACK- ORDINANCE __— OF - FEET REQUIRED ON —_ — STREET P~ DATE SIGNATURE OF LAND USE OFFICIA e z ' zz F DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET-- F _ W CURB AND GUTTER REQUIRED: * YES ❑ NO ❑ STREET: d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE- APPLICATION, BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET < IMPROVEMENT? YES ❑ NO ❑ O °L DATE SIGNATURE. OF ROAD DEPT. OFFICIAL _ _'SWIMMING POOLS PUBLIC QW ;e SEWAGE DISPOSAL — FOOD ESTABLISHMENT = C WATER POLLUTION REMARKS H FLOOD CONTROL— ONTROLZ- Z-AIR POLLUTION u, W a DIV OF HWY Xc YOUR PROPERTY MAY BE SUBJECT TO a — Lu -FLOOD. RIVERSIDE COUNTY ASSUMES l ;NO -RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PlKM11 PERMIT NO. 385010• DEPARTMENT -OF BUILDING & SAFETY FIELD OFFICE DST COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES . NO. -PLUMBING FEES ' IST FL. 2ND. FL. FOR. GAR. _ CAR P. WALL 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 Group ' GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Plumbing 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. @ t BATH TUB Address City Zip SQ.' FT. @ t WATER HEATER $ SQ. FT. RESID @1'/.c SEWAGE DISPOSAL _ Zip SQ. FT. GAR @ I/. c HOUSE SEWER Is A cess - - GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. T AI..EEE51 MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST .ELECT. FEE SMI FEE FEE PLUMB. FEE 'PERMIT NO, 385.0 Job Address Space f7 4 Zip Owner Comegity C e' Valuation $ - Date Dist. .�� Off. ZE F.C.C. , MH.Permit Fee $ Micro Film Fee Cop $ Use of Per �P /' �� / %orcel No. 7 3 / 3— 4011 Use/Case No. Ck By A Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size , Construction Fee Dbl $ Legal Description '1, •Q�] // '� / 're-// 4J�/ .• y F S . S R Electrical Fee Dbl $ Zone Ric Group ' Type SMI Fee $ Plumbing Fee ' Dbl $ Bond Amt. jPIon $ No. Plan Checker Final Date �Z l Inspe for Unit - Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental _ Permit Numbers a ' Registr. Fee - $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. _ Zip Total Fees Is A cess - - City ' - Zip M.O. N.C. Ca Check Received by Contractor � � �!%f^,' � . � � Tel./ � Y �� Q ~ f1 � ✓,.J License# t Trees requir Sewage System Address `.-.,tea (� g�+ 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 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 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208(Rev.8/78) 05 ' verified by: