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BLCK (398534)BUILDING PERMIT PERMIT NO. DEPARTMENT OF' BUILDING & SAFETY 9 8 5 3 4 COUNTY OF RIVERSIDE FIELD osr CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT..@ $ 2ND. FL. SQ. FT. @ FOR. SO. FT. @ GAR. SO. FT. @ CAR P. SQ. FT. @ WALL SO. FT. @ S ,r. SQ. 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 R GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Type 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 Reinsp. Fee E SQ. FT. @ a WATER HEATER S0. FT. RESID @ 1 %a SEWAGE DISPOSAL City Zip S0. FT. GAR @ 3/<a HOUSE SEWER I, —.. C' Licensee GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL.TOTAL I FEES L�O MOB. HM. FEE MICRO'FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3985 3 4 Job Address Space Zip Owner mmu';Off. F.C. MH Permit Fee Micro Film Fee Cop E Use `o ermitil 9 /,+—+ �• �7 �jy// / '„i Y�C.r -,y ' / o, -—IG..-// Lc' %7! s'• ✓ C• -t... C/ or<el No. se/Casa 'Ncf. Ck. By Mech. Fee Dbl b PI. Ck. Fee S tWjuLot Size - Construction Fee Del E ez Electrical Fee Dbl E Legal Description yppl /� / Cl; /y. C�. (•• / y/ .' F S S R Zone Restrictions _ Group Type SMI Fee E Plumbing Fee Del E Bond Amt. TPIKI,Io!4—Pidir'thocAer S Fino Dote 4/� 5` Z 3 O V [Ins cto Unit Sp. Insp. Fee E Dental. Fee E Const. Lender Branch SupplimentaI ermit Numbers Regist, Fee E Mileage Fee b Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip Total Fees - E M.O. N.C. ❑ Cash ' • Chec . Address City Zip Received by - "'+--' r Contractor "� �• /: " J'- •✓/ I, —.. C' Licensee Trees required Sewage System VaVlf Address Gl.o:4 aL y - Zip T ll f Sewer 7District s Form 284-208 (Rev. 1/80) THIS PERT SHECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAY MIALL S.' a SATION OF WORK 'verilie 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. t: T STREET NAME OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back w 33 Ventilation System 2 Figs 8. Frms -57 • ? 51 34 35 36 Plenums 6 Ducts s\ Furnace Comport. Inlets 8 Outlets 2A Slab Grade 3 SteelS2 G • Ab — 4 Grout Blocks ✓ A^ 37 38 Combustion Air Compressor 5 Bond Beams 6 Roof Deck 39 Appl. Clearonce 7 Framing s 40 Fire Damper 8 Vents 41 Smoke Detection Device r9 Garage Fire Wall w 42 Commercial Hood . 10 Fireplace P. L. 43 Final 10A Fireplace T. O. [� °o ADDITIONAL INFORMATION ' • t - SEWAGE SYSTEM SIZE & LOCATION 11 Exterior Loth 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value •7A Walls (Batts) 12B 'Ceiling (Batts) 12C Ceiling`(Blown) , Piz 14 Final'. 2�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 t REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L r P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding ' 30 Fixtures• 31 Service 32 Final t: T STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT OwnerP"12114 kVwt01_ Architect —. _ Contractor ;e_' /_ZD/r AddressAddress___ Address_ City L& Oil j:k4 City-- City— Phone 3yPhone _ Phone-34ca—a; 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 Li ted Below Must Be Obtained Prior to the Issuing of a Construction Permit. I SPACE NO. USE OF STRUCTURE JOB ADDRESS' -0 �l �- /J SINGLE FAMILY DUPLEX Z F LEG DESCRIPTION OF PROP R Y — APARTMENTS Q AGRIC. /l 3 Q C.— COMMERCIAL INDUSTRIAL ❑ COMMUNITY ALTERATIONS n CNO. Z OF SUBMITTED PLANS -- USE OF PE MIT — CASE NO. _ p Z NO. OFING SPACES REQUIRED .— —_ NO. OF BUILDINGS NOW (STING Q ;P ZONE SETBA(fKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON STREET DATE j SIGNATURE OF LAND USE OFFICI - -- DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET--_ _ W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET i 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 Q IMPROVEMENT? YES ❑ NO ❑ O °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL— x SWIMMING POOLS PUBLIC A W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS rn FLOOD CONTROL H Z AIR POLLUTION e W W l DIV OF HWY c a ,, — YOUR PROPERTY MAY BE SUBJECT TO CL c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT DVILUMw rmmll 1PERMIT NO. 398534 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE 71T COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND. FL. FOR. -PAR. CAR P. WALL ESTIMATED CONSTRUCTION SO. FT. .@ $ UNITS MH Permit Fee $ Micro Film Fee Cop S SQ.. FT. @ YARD SPKLR SYSTEM SQ. FT. @ - - MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @-r DRINKING FOUNTAIN SO. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax voluotion SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Address City Zip GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 SQ. FT. ' @ a WATER HEATER S0. FT. RESID @11/.c SEWAGE DISPOSAL Zip S0. FT. GAR @ 3/4 HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTALLFFEEEESMOB. V HM. FEE MICRO FEE MECH. FEE PL. CK, FEE CONST. FEE ELECT. FEE �v SMI FEE FEE PLUMB. FEE PERMIT NO. 3 9 8 5 34 lob Address mmunity� '.'.07r.n g Use of Permit / ,/_ !7 _n /��. 1 /A /id / / v ✓ fes( �"-4. Legal Description /Qwy.. / ` i./ G•• r 1r T' Space Zip One, to *r;t ,— Parcel No. et F S S Zone Restrictions Dist. I Off. Use/Case No. lot Size R Group Type F.C.C. Ck. By MH Permit Fee $ Micro Film Fee Cop S Mech. Fee Dbl g PI. Ck. Fee 'g Construction Fee Dbl S Electrical Fee D61 S SMI Fee g Plumbing Fee Dbl $ Bond Amt. g PI n No. P1_.n_Ch.7.r _ Fina Date - �2_ (,} Insp - Unit Sp. Insp. Fee S Demol. Fee S Const Lender Branch6 Supplimentof al Permit Numbers Registr, Fee S Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee S Owner/Agent s T.I.- Zip Total Fees. S M.O. Q N.C. C] Cash Cflec 0 Address � City Zip Received by Contra or C' �' "•� ��� " - R e,^ - .Licensee Trees required Sewa e System 9 Y Address ty Zip T LL THIS PERMIT SHALL fiEdME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORKverified 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 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 (Form 28x•208 (Rev. 1/801 ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.