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SPIN (403221)OVIwIIVu rCKMII PERMIT N. DEPARTMENT OF BUILDING & SAFETY FIELD M//� 14032201 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ 2ND. FL. SO. FT. @ FOR. SO. FT. @ GAR. SO. FT. @ CAR P. SO. FT. @ WALL SO. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK 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 Ck. By GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED," Set Backs 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. SO. FT. @ a BATH TUB Sp. Insp. Fee $ SO. FT. @ a WATER HEATER Supplimentol Permit Numbers SO. FT. RESID @ 1 t/aa SEWAGE DISPOSAL Address Y City Zip !/ ✓ SO. FT. GAR @ 3/4a HOUSE SEWER O"er/AA6/F 6t6tt Tel. / Zip GAS PIPING PERMIT FEE CityZip �%''�^ice, � l � ":. `.�' ,j ,L• ,j PERMIT FEEE ,r DBL. TOTAL FEF,!•,MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI E FEE PLUMB. FEE PERMIT NO. 4032 Job Address _, Space Zip - _. _... Owner Community x �` Voluotion $ Dote Dist. O`f'f.s F.C.C. . MH Permit Fee $ Micro Film Fee Cop S Use of Permit S/ A r A %f 2' r ! L• �✓ Parcel No. / �'//� /+T ~ Use/Case No. �� Ck. By Mech. Fee Dbl $ Pi. Ck. Fee $ Set Backs to Size ` f Construction Fee 061 $ Legal Description r^ �` ��. �� /! . r� c^' ` / F S S R /,<• / d Electrical Fee Dbl $ Zone Restrictions Aj Group Type SMI Fee S Plumbing Fee Dbl $ Bond Amt. $ Pion No. Pion Checker inolate Inspector Unit Sp. Insp. Fee $ Demol. Fee S Const. Lender Branch Supplimentol Permit Numbers Registr. Fee $ Mileage Fee $ Address Y City Zip !/ ✓ Witness Fee $ Reinsp. Fee $ O"er/AA6/F 6t6tt Tel. / Zip Total Fees S �; �=%G Address f l /1✓ CityZip �%''�^ice, � l � ":. `.�' ,j ,L• ,j M.O. E]N.C. ❑' ;Cash Check ® Receive$4y j Contractor Tai. licensaR Trees,11 Sewo- System sr T LL P Address s City Zip 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. t, Y 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. Sewer District Form 284208 (Rev. 1/80) NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel 36 Inlets & 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. 0. El°o ADDITIONAL INFORMATION see, - - - - - - - . SEWAGE SYSTEM SIZE & LOCATION i� ..- ` 11 Exterior Loth 12 Internal Lath 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Batts) 128 Ceiling (Botts) 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 P/L 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 NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE w. DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner __. _ _+ ►0_ v_tP OD_ //�I�� �'IArchitect Address, 5,. V f Uu t WAddress___ Addres3katk-W-1 Lite -- City City--- - City_I Lit 01 _S _;3 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/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 B low Must Be Obtained Prior to the Issuing of a Construction Permit. ISPACE NO. USE OF STRUCTURE C� J r �p1 JOB ADDRESS v ! L\v�- '��rW�'�/k�"E�1 jSINGLE FAMILY DUPLEX LEGAL DESCRIPTION OF PROPE TY 11��� els X O z W �P? St;'U �(��O/�� 3 Z APARTMENTS AGRIC. `�i1 0 Q –i �–' COMMERCIAL E] INDUSTRIAL CJ CC COMMUNITY in ALTERATIONS ❑ Z NO. OF SUBMITTED PLANS — USE OF PERMIT Lu Q CASE NO. t��P Z N0. OF PARKINGSPACES REQUIRED _ NO. OF BUILDINGS NOW EXISTING Q ZONE g. — SETBACKS: FRONT zd SIDE S REAR J Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON��� STREET DATE 9 - ga SIGNATURE OF LAND USE OFFICIAL _ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W c HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O ce. DATE SIGNATURE OF ROAD DEPT. OFFICIAI Z SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION REMARKS rn FLOOD CONTROL t– z AIR POLLUTION _ DIV OF HWY 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 TO SUBJECT REFERENCE REQUEST FOR CERTIFICATION Date County of Riverside Local governing authority Request for certification of acceptability of property under applicable local building-code(s).- Location uilding code(s)..Location of dwelling:5;?_ Community: 1 hereby request an inspection of the above located dwelling for a determination of the following, as well as a Certification of Acceptability (or Nonacceptability as the situation warrants): ❑ 1. Compliance with local building code(s) applicable to the existing dwelling. ❑ 2. Compliance with applicable local codels) on room addition. ❑ 3. Compliance with applicable local code(s) on garage conversion. ❑ 4. Compliance with applicable local code(s) on sewage disposal system. ❑ 5. Compliance with applicable local codels) on other special construction. (describe)�� Signed:' / ((Ot) Owner/Agent) // / /it/ y Address: Vr �K �/! (e f / Zip: 284-49 8/76 i, CERTIFICATE OF ACCEPTABILITY/NONACCEPTABILITY Daf Ins awn`' Owner: Location of Dwelling:-/�T���Lp±--- moo= ��- Bui dot e'r�m"ttitJa. Community: loa n o4 I certify that as a part of my official duties as building inspector, I have oil ,the date indicated, inspected the above located dwelling as requested, and have noted the following violationls) of the applicable building code(s): ❑ None. There is no violation of the applicable building code(s). ❑ The following nonacceptable conditions exist: ❑ Sanitary inadequacy: ❑ Structural hazard: ❑ Hazardous wiring: ❑ Hazardous plumbing: ❑ Faulty weather protection: ❑ Fire hazard: ❑ Faulty materials of construction: ❑ Additional details are noted on reverse side of this form. Remarks: ❑ Conforms to other applicable ordinances. ❑ 1 further certify that a record is available indicating proper completion: Reinspection/ New Permit Required (Building Permit No.) (Completion Date) ❑ The building permit completion record is not available. Records indicate age of this structure has led to destruction of the completion record. } Xhere is no record available of the construction involved. However, the cons tructiaqoppeors �h to meet code. JYL Signed: (Typed or Printed Name of Building Inspector) County of Riverside a City Date of Certificate BUILDING PERMIT '. PERMIT NO. 403221 DEPARTMENT OF BUILDING . & SAFETY FIELD OFFICE COUNTY OF RIVERSIDE j� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING .FEES 1ST FL. 2ND. Fl. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Date SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC., BAR SINK , SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN SO. 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 Const. Lender Branch GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED, Mileage Fee 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. @ a BATH TUB Address SO. FT. @ a WATER HEATER S0. FT. RESID @ 1 I/4a SEWAGE DISPOSAL ' S0. FT. GAR @ 3/4 t: HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE E p DBL. TOTALFEFj+� MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE PERMIT NO.% 403221 _ Job Address Space ` �Oa�/�t.U�'o�� Zip - Owner t i Z 1o"Ve - u>, Community .,v av Valuation 5 Date Dist. Off. F.C.C. MH Permit Fee S - Micro Film Fee Cap S Use of Permit , ��6C,/A � `1A J/ C f+ r Parcel No.Use/ —�. ?- Ck. By / Mech. Fee Dbl 5 PI. Ck.- Fee $ - Set Backs , Lot Size F 5 Zone RestrictionsGroup Type Construction Fee Dist S Legal Description// �(//'' - /G,j /✓ '.�`��� `� Electrical Fee Dbl S SMI 'Fee S Plumbing Fee Dbl $ Bond Amt. S Plan No. - Plan Checker ina ate - �-l0 — �0 Inspector Unit Sp. Insp. Fee S ..- Demol. Fee S Const. Lender Branch Supplimental Permit Numbers - Registr. Fee $ Mileage Fee S Address City Zip Witness Fe4' Re'up. Fee S �OwirerT 9�nt Tel. - Zip Notal Fees S 00 Address City Zip M.O. [3 N.C. Cash Check Receive y Contrac or Tel. Licenselr Trees Sawa System • Address City Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK $ewer 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. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO JN Form 284208 (Rev. I/80) ANCE WITH•SEtTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: