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369255 (BLCK)BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD M/;�/ 3 6 9 2 5 5 COUNTY OF RIVERSIDE , CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS Owner 1 y IST FL. SQ. FT. @ Val 1$uation Date 2ND. FL. SQ. FT. @ Dist. YARD SPKLR SYSTEM F.C.C. MOBILEHOME SVC. BAR SINK FOR. SQ. FT. @ Use of Permit _ �--� -• GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Ck. By DRAINAGE PIPING WALL SQ. FT. @ Set Bac s DRINKING FOUNTAIN Construction Fee Dbl E URINAL SQ. FT. @ F S S R ESTIMATED CONSTRUCTION VALUATION $ Zone Restrictions 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 Inspector � GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Demol. Fee LAUNDRY TRAY AIR HANDLING UNLT 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 Tel. SQ. FT. @ c WATER HEATER SQ. FT. RESID @ 1 t/, c SEWAGE DISPOSAL SQ. FT. GAR @ 1%c HOUSE SEWER e P +�I / / V / 4 Zip GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLU B. FEE 1TOTAL City Zip PERMIT NO. 369255 Job Address Space �• ' 1• 114 e.� (r�, Zip _P Owner 1 y Community ",ry %•q� 1 0,1 �\,Jy^'F Val 1$uation Date Al Dist. Off. J' F.C.C. MH.Permit Fee E Micro Film Fee Cop E Use of Permit _ �--� -• Parcel No. -ZIf r' " s/Case No. I Ck. By Mech. Fee Dbl E PI. Ck. Fee E Set Bac s I Lot Size Construction Fee Dbl E g( Lego Descrip on L 2^ (,--I —7-1 /2- -Plumbing F S S R Electrical Fee Dbl E Zone Restrictions Group Type - SMI Fee E Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date g / —/ 7— >f Inspector � Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplimen rmit Numbers Registr. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E OwnerLA9ent/ /• Tel. 4 Zip Total Fees E .Ad ressI .-� (t / . i City e P +�I / / V / 4 Zip M.O. Ce _Cash Check Received by Controctor Tel. ' License# Trees required Sewage System Address City Zip T LL P Sewer District Form 284-208 (Rev.8/78)� f 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 t_ 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 %v ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 1ry1 NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums 8 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets 8 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.O. � NP'N O. ADDITIONAL INFORMATION l SEWAGE SYSTEM SIZE & LOCATION , 11 Exterior Lath 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Volue 7A Walls (Batts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final 7-17— 7�, 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 PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS 'f P� 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME NOTICE: THIS IS NOTA BUILDING PERMIT � DISTRICT APPLICATION TO CONSTRUCT Permit No DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT r v,architect Contractor_ Own r ——_ ���%�� //<��L �_ Address—__—_— Adc—�.tC� Address___ --__ Cit1�t_�� City_— _ City-__-- -- //�^/�y Phone� �T— 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/W O without an encroachment permit. NOW, therefore, it is agreed )hat I (we) will not occupy said property and will not causes d property to be pied until I (we) have comp- with all laws of the C my of Riverside and the State of California governing said pro e . c SIGNATURE SIGNATURE GE 4 DATE OF OWNER AND/OR Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. C✓�I SPACE NO. C ✓ d _ ZA USE OF STRUCTURE DO Ay7 JOB ADDRESS SINGLE FAMILY DUPLEX El 73-142—(OW Z F - L GAL DESCRIPT F%PIR PE YAPARTMENTS AGRIC. �— Q —� --- COMMERCIAL INDUSTRIAL ❑ bq UTAJ _ COMMUNITY ALTERATIONS O Z j �, NO. OF SUBMITTED PLANS --E 0`^PERi- O CLIrr7c CASE NO. 7�LG lS7 —� Z NO. OF PA ING PACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING - — ZONE iETBAeKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBAC ORDINANC OF FEET REQUIRED ON — REET DATE �`22 SIGNATURE OF LAND USE OFFICIAL --- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET__ H W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET cct- d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O cc DATE — SIGNATURE OF ROAD DEPT. OFFICIAL_ I SWIMMING POOLS PUBLIC mSEWAGE DISPOSAL S FOOD ESTABLISHMENT WATER POLLUTION REMARKS FLOOD CONTROL— z AIR POLLUTION _DIV OF HWY H c a — YOUR PROPERTY MAY BE SUBJECT TO d c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT FIELD OFFICE PERMIT NO. DEPARTMENT OF BUILDING & SAFETY �T 1369255 COUNTY OF RIVERSIDE 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Valuation _ 2ND. FL. FOR. SQ. FT. @ Dist. / YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ, FT, @ CAR P. SQ. FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN 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 Construction.Fee Dbl $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED F S S 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 Unit SQ. FT. @ c WATER HEATER $ SQ. FT. RESID @I'ht SEWAGE DISPOSAL Supplimental S0. FT. GAR @ '/. t HOUSE SEWER Regisir. Fee $ Mileage Fee Is Address City Zip / GAS PIPING PERMIT FEE $ PERMIT FEE PERMIT FEE DBL. TOTAL FEESMOB. I6 dU HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE /p PERMIT NO. 369255! Job Address 2 vc Spoce �.u�(a�� Zip - Owner -- ,. Community L„ A V j n.�� Valuation _ Date Dist. / Off. '�� •,r•1-Ck. F.C.C. MH.Permit Fee $ Micro Film Fe'e Cop $ Use of Permit Parcel No. ? .r ` ~ E Use/Cose No. By Mach. Fee Dbl $ Pl. Ck. Fee $ Set Boc s Lot Size ,}� fV �6 Construction.Fee Dbl $ al D got .5-e� V F S S R Electrical Fee Dbl $ Zone Re r' 'ons- Group I..// Type SMI Fee Is Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Date �� '//� —7 / Inspector Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Regisir. Fee $ Mileage Fee Is Address City Zip / Witness Fee $ Reinsp. Fee $ Owner fA nt / Tel. Zip Total Fees M.O. $ .C( ash Check PAdaress t ?? 4- 5 e,,�/ /f,,.J / U? y' Cit t Y Zip C✓ / /�.✓ Received by '� Controctor Tel. LicenseN Trees required Sewage System Address City 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 r 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 t Form 284-208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.