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BLCK (375283)DWILY1nV PCRMII PERMIT NO. DEPARTMENT OF BUILDING & SAFETY DST 13752831 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS ist. J F.C.C. r 2ND. FL. FOR. SQ. FT. @ Cop E YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Lot Size DRAINAGE PIPING WALL SQ. FT. @ �� T. .u. SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ R DRINKING FOUNTAIN URINAL WATER PIPING a. NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN I MECHANICAL,FEES SWIM POOL, COMM WATER SOFTENER ` VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER p`� Final Odl GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Sp. Insp. Fee E 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 Total Fees M.O. 0 N.c.n Received by IQ 4f7ontr SQ. FT. RESID @1'/.c SEWAGE DISPOSAL r. SQ. FT. GAR @ z/. c HOUSE SEWER U Zip r f. - Licensel Frees requi e Sewage System GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEE;,,d MOB.HM.FEE I MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE r SMI FEE FEE PLUMB. FEE PERMIT NO. 375283 Job Address %'' Community A ' „. Valuation E Space �-'" r✓ Zip Owner �4-R,4_�" Date `� ist. J F.C.C. r MH.Permit Fee E Micro Film Fee Cop E Ur. 0,rpermif j a egal Description 4 0 ' .� r/ >43 // �/L� je'�� L — �"� 7 �-�/ t Nrrcel No. c 0 1 fj U e/Cas No. Ck. By Mech. Fee Dbl E PI. Ck. Fee E Construction Fee Dbl E - $et'Ba4 Lot Size F S S R Electrical Fee Dbl E Zone Restrictions Group Type t SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker p`� Final Odl ns r Unit Sp. Insp. Fee E DenI Fee E Const. Lender Branch Supplimental Permit Numbers Registr. Fee E Mileage Fee E Address City Zip p Witness Fee E Reinsp. Fee E Owner/AgentJ �~ 4 Tel. Zip Total Fees M.O. 0 N.c.n Received by IQ 4f7ontr E Cas Chec ddr ss /� ., i i ctor r. City Tel. U Zip r f. - Licensel Frees requi e Sewage System I; Address Cit Y Zip T LL P Sewer District Cf For284208 (Rev.B/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. 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 1 Set Back G_ 33 Ventilation System 2 Figs 8 Frms ----7 (sem 34 Plenums 6 Ducts 2A Slab Grade 35 Furnace Comport. 3 Steel O 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 IDA Fireplace T.O. ❑ 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 PSL x 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 NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE j. DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner gar Architect_ _. _ Contractor--_ _ /'9En/,�o2A Address Address___ Address r✓��T� City City_— _ City___.__— — Phone Phone _ Phone— t 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) complied with all laws ofthe 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 List Be Must Be Obtained Prior to the Issuing of a Construction er I SPACE NO. USE OF STRUCTURE (1� �� ,Q JOB ADDRESS > _---� a� / SINGLE FAMIL DUPLEX 7.7� �'Q_�cs(�__ LE L OE$ R1PT10N OF PRO TY APARTMENTS AGRIC. Z uj P +i m / /y 17-`-- P Q e (%- MMERCIAL INDUSTRIAL n COMMUNITY O ALTERATIONS ❑ N0. OF SUBMITTED PLANS — USE F PEZ IT CASE NO. p Z NO. OF,PARKING SPACES REQUIRED NO. OF BUILDINGS NOW EXISTING Q �. ZONESETBACKS: FRONT SIDE REAR J Co GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE _ OF FEET REQUIRED ON —1-01, REET DATE SIGNATURE OF LAND USE OFFICIAL -e= DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - - z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑' NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET OIMPROVEMENT? YES ❑ NO ❑ cc DATE SIGNATURE OF ROAD DEPT. OFFICIAL— Z SWIMMING POOLS PUBLIC QW - SEWAGE DISPOSAL FOOD ESTABLISHMENT' _ WATER POLLUTION REMARKS vt FLOOD CONTROL H AIR POLLUTION z _ DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO 0 c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT UWILUBMW 11-MMm.I PERMIT NO. 1375283 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE FTs -1-1 COUNTY OF RIVERSIDE I // 1 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Space Zip -Owner ��.yy Date Dist. F.C.C. �,,, VX) 2ND. FL. SQ. FT. @ Micro Film Fee YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ Zone Restrictions DRAINAGE PIPING WALL .SQ. FT. @ SMI Fee $ DRINKING FOUNTAIN SQ. FT. @ , w Bond Amt. $ URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING t 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 Supplimental Permit Numbers GARBAGE DISPOSAL . FURNACE UNIT WALL FLOOR SUSPENDED Mileage 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. @ c BATH TUB Zip i License# ' SQ. FT. @ c WATER HEATER Address SQ. FT. RESID @1'/.c SEWAGE DISPOSAL City SQ. FT. GAR @ 1%c HOUSE SEWER ' GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEE;,A MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE I PERMIT NO. 13752831quI Job Address Community Valuation $ Space Zip -Owner ��.yy Date Dist. F.C.C. �,,, VX) MH.Permit Fee' $ Micro Film Fee Cop $ Use of Perm' Legal Description ) ^!O Parcel No. acks F S S Ufe/Cosd No: Ck. By Lot Size R Mech. Fee Dbl $ PI. Ck. Fee$ Construction Fee Dbl $ Electrical Fee Dbl $ Zone Restrictions Group Type t SMI Fee $ Plumbing Fee. Dbl $ Bond Amt. $ Plan No. Plan Checker Fina(l) 1 ector Unit I Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip AO Witness Fee $ Reinsp. Fee $ Owner/Agent fJ 'Tel. CL Zip Total Fees M.O. n Received by frees require $ I Li N.C. 0 C.shN2 Check �drs% s Contractor !.! ^% _ City Tel. - Zip i License# ' Sewage System Address City Zip T LL P ,.Sewer District r 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. 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.