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ELEC (369132)91UILDING PERMIT PERMIT NO. DEPARTMENTS- OF BUILDING & SAFETY FIELD t �! 36913 2 . . COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. SQ. FT. @ $ UNITS Date �j 4 './J ~ 7/ Dist. 1 / %/ SQ. FT. @ YARD SPKLR SYSTEM FOR. SQ. FT. @ MOBILEHOME SVC. Parcel No. BAR SINK GAR. CAR P. WALL SQ, FT, @ POWER OUTLET Set Backs ROOF DRAINS SQ. FT. @ f �O(i DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ Type SMI Fee $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Pion Checker FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM Sp. Insp. Fee $ WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN Register. Fee $ WASHER (AUTO)(DISH) APPLIANCE DRYER Witness Fee $ Reinsp. Fee$ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Total Fees $ 49 LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER Received by - KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC Trees required 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 @1'/.0 SEWAGE DISPOSAL SQ. FT. GAR @ 'G C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE 3 Q d PERMIT FEE DBL. TOTAL F ESJ MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELE_T CT. EES SMI FEE FEE PLUMB. FEE PERMIT NO. 3 6 913 2 Job Ad less Space °`7' : d ` d ����°�. o Z' Owner a1 - %v *2 -aye;- k t� Com/muniitt�y ��yy U y ,•t-" %7 Valuation $ Date �j 4 './J ~ 7/ Dist. 1 / %/ Off. F.C.C. MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit f if r aX. 7•• ytJ/ ryry dig Parcel No. Use/Case No. Ck. 8y Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size �Ci � ,/�• c+ Construction Fee Dbl E Legal Description % '� r� (� F S S R Electrical Fee Dbl E u® Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Pion Checker Final Dot 1 7 Inspector Unit Sp. Insp. Fee $ Dental. Fee $ Const. Lender Branch Suppli t ermit Numbers Register. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee$ Owner/Agent f = �.c� " -� Tel. Zip Total Fees $ 49 Address /,aQ%� 1 City yj Zip I_'t!C.(%'!moi"G�t.,i.–.ii(, M.O. 0 N.C. Cash eck(� Received by - Contractor Tel. LicenseX Trees required Sewoge 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 THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CARNIA. 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. (Re Form 284-208 (R NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Sat Back 33 Ventilation System 2 Figs 8 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 IDA Fireplace T. 0. E] 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 PSL P/ i 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 DISTRICT �! Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Own �ddArchitect N C _—_ Contractor v Address 10""0, Ad-ress— `D' Address —_—_ Lh��,'i//�� �� Vf city_Jr- �i`�/cno City 1k� City 2/ Phone :S1 —Z%3i Phone�46 -ZZ3r. Phone— _ cd 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 unti I (we) have f he County of Riverside and the State of California governing sai complied with alIG-0 DATE 7---7 -- 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. ISPACE NO. �, 1 USE OF ST UCTURE JOB ADDRESS 1Cv� /1"C(fi J 1 7— SINGLE FAMILY LL``�� DUPLEX Z W �� LEGAL D CRiP OF PROPERTY _[—�� ����_ o r APARTMENTS AGRIC. / Q -- _—'- COMMERCIALINDUSTRIAL rL j '^ COMMUNITY ALTERATIONS OZ Q NO. OF SUBMITTED PLANS _ US OFFP�E�RMIITP2 CASE N0.r�` C Z NO. OF P I_NGG PACES REQUIRED __ — NO. OF BUILDINGS NOW EXISTING Q -j ZONE _its—SETBA(fKS: FRONT SIDE J m - GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE lol �AR SETBACK/�RD%J OF FEET REQUIRED ON TREET DATE1 SIGNATURE OF LAND USE OFFICIAL_y DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET- --z CURB AND GUTTER REQUIRED: YES [I NO F1 STREET H CAN -CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ED W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES O NO ❑- O °C DATE SIGNATURE OF ROAD DEPT. OFFICIAI _ SWIMMING POOLS PUBLIC aSEWAGE DISPOSAL _ `FOOD ESTABLISHMENT WATER POLLUTION — REMARKS %A FLOOD CONTROL H W AIR POLLUTION u' I DIV OF HWY c a YOUR PROPERTY MAY BE SUBJECT TO — _ Lu FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT BUILDING PERMIT _ PERMIT NO. DEPARTMENT OF BUILDING 8 SAFETY FIELD OFFICE DST 3 6"913 2 COUNTY OF RIVERSIDE 1/( I CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR, GAR. CAR P. WALL _ ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS U± SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS � SQ. FT. @ DQ W. J /e41 Off% DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT Lot Size I £Type Construction Fee Dbl $ FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM Group , WATER SOFTENER VENT SYSTEM FAN EVAP. COOL HOOD SIGN Bond Amt. " $ WASHER (AUTO)(DISH) APPLIANCE DRYER Fill Date l(� / 7-7 Inspe o Unit GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED $ Const. Lender Branch LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER Registr. Fee $ Mileage Fee $ KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC $ WATER CLOSET .COMPRESSOR HP POLE, TEMP/PERM Zip LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT Address 1J y� �} / G%& �% SHOWER BOILER B.T.U.. SQ. FT. @ c Received by BATH TUB Contractor SQ. FT. @ c Tel. License# WATER HEATER Sewage System SQ. FT. RESID @ 11/. c Address SEWAGE DISPOSAL City Zip SQ. FT. GAR @ 3/4 c HOUSE SEWER GAS PIPING PERMIT FEE (I PERMIT FEE 3 Q d PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEES o"o SMI FEE FEE PLUMB. FEE PERMIT NO. 369132 Job Adgltess Space Z' Owner Community /--.- U A,1 ;--9 Valuation. $ Date -1''i �// 7, )Dist. / � Off.F.C.C. I--,= MH.Permit Fee $ Micro Film Fee Cop $ Use of Permit M �.�,�-- 7V 7-e4" i,f to i%�7-' .S`P'i//Gel r }�W//+tet ! Parcel No. 7-'131-6011 .�"�. Use/Case No. Ck. By Mech. Fee Dbl $ HfotJ PI. Ck. Fee $ Set Backs FS 5 R Lot Size I £Type Construction Fee Dbl $ Legal Description ' "' � I � 3 � 41S Electrical Fee Dbl $ / Vr7 Zone Restrictions 'e— >:P-- Group , SMI Fee $ Plumbing Fee Dbl $ Bond Amt. " $ Plan No. Plan Checker Fill Date l(� / 7-7 Inspe o Unit Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch Supplimentol Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip ~) Witness Fee $ f Reinsp. Fee $ Owner/Agent� Tel. 4/. Zip Total Fees $ Address 1J y� �} / G%& �% City City A ':z Zip M.O. N.C. Cash Zeck Received by Contractor Tel. License# Trees required Sewage System Address City Zip T LL P Sewer District Form 284^208 (Rev.8/78) © r 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.