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BLCK (384983)BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY MDST384983 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. Q UNITS ._.. , Off. i — -T F.C.C. SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING w w 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 Sp. Insp. Fee $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Const. Lender 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 Total Fees M.O. N.C. SQ. FT. ® c WATER HEATER t SQ. FT. RESID @ I t/ c SEWAGE DISPOSAL ' SQ. FT. GAR Q 3/. c HOUSE SEWER C��,,actor f GAS PIPING PERMIT FEE Trees re tr d' PERMIT FEE PERMIT FEE DBL. TOTAL FEE 01 0/ MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE 7 ELECT. FEE • %— SMI FEE FEE PLUMB. FEE. PERMIT NO. 384983 Job Address - Comm ity i - �.�: iVs/of—rion�;, Zip Space1.Owner '2' �'-13.� Date Dist. ._.. , Off. i — -T F.C.C. II I MH.Permit Fee S Micro Film Fee Copl$ Use of ermi '/ /j- 51"A--�- t �f fi ,�.i,..t' N Parcel No. 2 _ r se/Case 14c. Ck. By Mech. Fee Dbl E PI. Ck. Fee $ Set Bocks Lot Size S S R Zone Restrictions Group Type Construction Fee Dbl E Electrical Fee Dbl $ r Legal Description le 4(,//may �/ �`{ //�� F �.... SMI Fee E I Plumbing Fee Dbl E Bond Amt. $ Plan No. Plan Checker Fi Inspe r Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers ' Registr. Fee $ Mileage Fee y Address City Zip Witness Fee E Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees M.O. N.C. E Cash Check Address • ��i - City Zip Received C��,,actor f Tel. License# Trees re tr d' Sewage ystem Address City Zip T LL P Sewer District \ 1 jf✓ LC1u -y•�LI"DSU s I6 1.// . Form 284.208 (Re,8/78), ©s t THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK 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. verified by: NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back ,) 33 Ventilation System 2 Ftgs 8 Frms 7_ 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..� (L� 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 IDA Fireplace T. 0. Ej 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 P/L f P/� a 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME C W Z 3 0 NOT:CE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE Owner .4 2A n v1 1OLT AddressnmfA � - City A—/ CIS—A_jC A— Phone '9-1'1 9 Architect Address___ - : ri City_=µ: `A Phone _ DISTRICT Permit No Contractor---. --- Address—_—__._ ---__ City_—_ — Phone— -------_.---.- I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety 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 without an encroachment permit. NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property I tT be occupied unt' I ( have complied with all laws of the County of Riverside and the State of California governing said property. -7Cf �:•. t DATE _L_L____-4�_— SIGNATURE OF,OWNER AND'/OR AGENT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. JOB ADDRESS LEGAL DESCRIPTION OF PROPERTY Z' 'r- G _ 'T G K - /4c -? COMMUNITY. NO. OF SUBMITTED PIANS USE CASE NO. NO. OF PARKING SPACES REQUIRED .— ZONE�SETBA6KS: FRONT GRADING PERMIT REQUIRED? YES F­1SETBAC/K 0 DINANCCEE�b OF DATE -1�—` / SPACE NO. OF 1 USE OF STRUCTURE SINGLE FAMILYDUPLEX �/ ��� J3/oa _ APARTMENTS AGRIC. COMMERCIAL E] INDUSTRIAL C, p_D —��0 LTERATIONS n PERMIT w/ — NO. OF BUILDINGS NOW EXISTING — SIDE REAR NO ❑ LOT SIZE FEET REQUIRED ON SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES O NO ❑ NO. OF FEET CURB AND GUTTER REQUIRED: YES ❑ NO ❑ TREET ET 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 ❑ DATE — SIGNATURE OF ROAD DEPT. OFFICIAI SWIMMING POOLS PUBLIC SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION FLOOD CONTROL_ AIR POLLUTION _ DIV OF HWY REMARKS YOUR PROPERTY MAY BE SUBJECT TO FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY p n p COUNTY OF RIVERSIDE MhDST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. SQ. FT. @ $ UNITS Dist. SQ. FT. @ YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. CAR P. SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ Final Date DRINKING FOUNTAIN SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ Const. Lender Branch 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 City r ` Zip GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Tel LicenseN /' ^' 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 SQ. FT. @ c WATER HEATER SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ. FT. GAR @ IN c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES off- MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE 1PERMIT NO. 384983 Job Address Space p0 a.s -.or Comm 'ty Val ion Qv Date E Jr� Dist. Off. F.C.C. MH.Permit Fee E Micro Film Fee Copl$ /Use of Permi Parcel No. se/Case o. Ck. By ,�' 10 Set Backs Lot Size F 5 S R Zone Restrictions Group Type Mech. Fee Dbl E PI. Ck. Fee E Construction Fee Dbl E Electrical Fee Dbl E Legal Description C(/��, 77 / �,,,r / J " 'i / [[[��V"' SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date Inspector Unit Sp. Insp. Fee - E Dental. Fee E Const. Lender Branch Supplimental Permit Numbers Regisir. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip t Total FeesE M.O. Coshl Check Ad ess / / City r ` Zip Received Con actor � . Tel LicenseN /' ^' frees re u d Sewage System Address City Zip T LL P Sewer District Form 284-208 (Rev.8/78) @s 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. EHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THLAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO M ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.