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417679 (BLCK). _ PERMIT NO. ~ -7679 PERMIT No. _ DEPARTMENT OF BUILDING & SAFETY Zip 12 _ .++•.ate Owner 6 7 9 Community `�A i. "J t' COUNTY OF RIVERSIDE FIELD DST F)// .417 Of`. F.C.C. MH.Permit Fee$-..+\ Micro Film Fee Cop $ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Mech. Fee Dbl $ - IST FL. SQ. FT. @ $ UNITS Lot Size 2ND. FL. SQ. FT. @ Construction Fee , Db1 $ (S YARD SPKLR SYSTEM F S S POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK Group GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS .Plumbing Fee CAR P. SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ or DRINKING FOUNTAIN SQ. FT. @ r' URINAL Const. Lender Branch ESTIMATED CONSTRUCTION VALUATION $ /\ WATER PIPING ' NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Wtlness Fee $ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER l VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Cas Chec171 GARBAGE DISPOSAL ' / FURNACE UNIT WALL FLOOR SUSPENDED J LAUNDRY TRAY Received by N A\ Trees required AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Tel. ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Sewage System COMPRESSOR HP POLE,TEMP/PERM LAVATORY City 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. TOTAL FEES j MOBMM.FEE MICRO FEE MECH. FEE PL. CK. FEE T. o ELECT. FEE CO F�,E SMI FEE FEE PLUMB. FEE . _ PERMIT NO. ~ -7679 _ _ _ Job Address Space Zip 12 _ .++•.ate Owner Community `�A i. "J t' Valuatio $ Date Dist. Of`. F.C.C. MH.Permit Fee$-..+\ Micro Film Fee Cop $ Use of Permit , J Parcel No. ^� Use/Case No. r, 7 L �� �✓ Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee , Db1 $ (S Legal Description M V. ! y�� (J• � . 4r. `J `�' ' `- V �.Lyt F S S R Elecirftal Fee Dbl $► Zone R ction Group Type SMI Fee $ .Plumbing Fee Dbl $ Bond Amt. $ Pion No. Plan Checker Final Dote[9'5 /,/ g or Unit Sp. Insp. Fee 5 $ Demo!. Fee $ Const. Lender Branch Supplimental Permit Numbers / ` 0 ' Registr. Fee $ Mileage Fee $ Address City Zip 11.0L. Wtlness Fee $ Reinsp. Fee § Owner/Agent i l Tel. 4-6, IQ(/ Zip , Total Fee k M.O C. Cas Chec171 ddre on�4 ..fig / City s J .2� Z21 , Received by N A\ Trees required r ContracXJ—X/\ Tel. License# Sewage System Address�y/ r City Zip t +- T LL P v THIS PEIMIT 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. f/ A HEREBY AGREE THAT ALL WORK IN CONNECTIONVITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH S O VERSIDE COUNTY AND THE STATE OF CALIFORNIA. `Y I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED ?HE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. ©s � r A: verified by: NO. OPERATION DATE INSPECTOR NO. -2. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Bock .� g 33 Ventilation System 2 Ftgs & Frms _g 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel g 36 Inlets & Outlets 4 Grout Blocks 37 Combustion Air 5 Bond Beams (.li `3.� 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.O. Ej No ADDITIONAL INFORMATION - I SEWAGE SYSTEM SIZE & LOCATION I1 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final �� a 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 V' P/ .f i 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 298 Bonding 30 Fixtures 31 Service 32 Final STREET NAME S ^y An 'owner -builder' building 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 opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification i 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) signed an application for bui ding permit for the proposed work. 3. I have contracted with the following person (firm) to provide the pro- posed construction: Name Phone Address City Contractors License. No. 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 Phone Address City Contractors License No. 5. I will provide -some of the work but I have contracted (hired) the follow- ing persons to provide the work indicated: Name Address Phone Type of Work Socia 284/2002 7/80 NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT 11 �= Permit No _ 284 199 9/74 I CANARY—FILE, PINK --APPLICANT y z�l/ Ownertlf_ Architect Contractor �Q r Bek 7%�% Address ,,A�ddrress Address_ City`100 C'>/�Q�b'�i�y t%Al 7 -AP 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. I am also aware that no work is to be done within the County R/ 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 occupied ntil ( e) 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 Liste elow Must Be Obtained Prior to the Issuing of a Construction rmit. SPACE NO. USE OF STRUCTURE _ JOB ADDRESS / � lcll�e" _ SINGLE FAMILY DUPLEX >' Z W LEGAL DESCRIPTION OF PROP RTY V 0 _ _ / APARTMENTS AGRIC. �Oa \ Ly]J� C� H —�"T COMMERCIAL ❑ INDUSTRIAL N GCOMMUNITY. C ^ ALTERATIONS n �/ Z NO. OF SUBMITTED PLANS ---• USE OF PERMIT V — -- us CASE NO. p Z N0. OF P RKIN SPACES REQUIRED — NO. OF.BUI'LDINGS W EXISTING _. a o ZONE ETBACKS: FRONT" SIDE REAR m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE H __.OF FEET REQUIRED ON STREET DATE SIGNATURE OF LAND USE OFFICIAL t— DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__ zCURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET t` 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 IMPROVEMENT? YES ❑ NO ❑ °L DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC Wr SEWAGE DISPOSAL FOOD ESTABLISHMENT _ _ WATER POLLUTION REMARKS Pn FLOOD CONTROL— z AIR POLLUTION W DIV OF HWY o a — YOUR PROPERTY MAY BE SUBJECT TO d " o . FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. _ 284 199 9/74 I CANARY—FILE, PINK --APPLICANT BUILDING PERMIT PERMIT NO. 417 6 7 9 PERMIT No. 41 76791 6 7 ace Job Address. �^ � /��Arvt' Doe,<, DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE I DST F/L CONSTRUCTION ESTIMATE NO. - ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P.SQ. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Parcel No. ,^ Use/Case No. ! t 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 ll VALUATION $ !rr" ' 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 Registr. 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. @ t BATH TUB SQ. FT. @ C WATER HEATER SQ. FT. RESID @1'/.t SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FE�� I.MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE y�T. FFb ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 417 6 7 9 ace Job Address. �^ � /��Arvt' Doe,<, Zip , '� Owner tD LAV` Community �+..� �(, t.� �jT' Voluatio y�,�"� § � ©1 � Date / —pit Dist. Oft, F.C.C. MH.Permit Fee § Micro Film Fee Cop § - Use of Permit in -� - Parcel No. ,^ Use/Case No. ! t C)10 Mech. Fee Dbl $/ PL Ck. Fee § Set Backs Lot Size Construction Fee Obl § ry legal Description 3t 0(s L �L0 F S 5 R Electrical Fee Dbl 1$Z one Zone 'prk��7+�7,chonk ♦ � Group Type SMI Fee Is 'Plumbing Fee Dal § Bond Amt. § Plan No. Plan Checker 'V F/i/�{ Date ( Q� / " Z Inspector Unit Sp. Insp. Fee § Dental. Fee E Const. Lender Branch Supplimental Permit Numbers ' `✓ Registr. Fee § Mileage Fee § Address City Zip Witness Fee § �Reinsp. Fee § Owner/Agent Tel. -,/� / � % ,.y � Zip Total Fe M. C. Cas hec' cl ddre yo City J Zip N Received by Trees required Contractor ! ° Tel. License# Sewage System Addres / Ci ty Zip T LL P V THIS PE IT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: Sewer District FOR 120 AYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. t I' HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH E S OF—RWERSIDE COUNTY AND THE'STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE VSA S' 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.