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BLCK (398921)BUILDING PERMIT PERMIT NO. 3 9 (� 21 lob Address- gp��• 1 i - �H� DEPARTMENT OF BUILDING & SAFETY.f.. j COUNTY OF RIVERSIDE FIELD DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Off. 1 ST. FL. 2ND. FL. POR: GAR. CAR P. WALL F -'•v/ o ESTIMATED CONSTRUCTION SO. FT. @ $ UNITS use of Permit i"-'�- /�' Parcel No. YARD SPKLR SYSTEM SQ. FT. @ - Mach. Fee Dbl $ SO. FT. @ MOBILEHOME SVC. BAR SINK Set Backs SO. FT. @ POWER OUTLET ROOF DRAINS Construction Fee Dbl $ © SO. FT. @ DRAINAGE PIPING - F S S R SO. FT/ 2 ` A DRINKING FOUNTAIN Zone Restrictions ou "" ' SO. FT. @ URINAL Type r ti4' VALUATION $ WATER PIPING } NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN j MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Dental. Fee 5 VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Mileage Fee $ APPLIANCE DRYER • Witness Fee S GARBAGE DISPOSAL Owner/Agent ' . ' (FURNACE _ UNIT. WALL FLOOR SUSPENDED LAUNDRY TRAY ' Address % -•7•' / �• / I -r/ 'r,,�J ...4 C% (,�✓ t�/fV FAIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Contractor s a _ ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET ' Sewage System COMPRESSOR i'= HP ° POLE,-TEMP/PERM LAVATORY HEATING SYSTEM .FORGED GRAVITY AMPERES SERV ENT SHOWER, BOILER ;B.T.U. SQ. FT. @ a BATH TUB SO. FT. @ a WATER HEATER S0. FT. RESID @ 11/44 SEWAGE DISPOSAL SO. FT. GAR s@ 3/44 HOUSE SEWER - - GAS PIPING ' PERMIT FEE PERMIT FEE PERMIT FEE DBL.'TOTAL �--•--i4i- FEES --•-�. �� MOB. HM. FEE ,,,�,�.+,�. MICRO'FEE _.�..n.-.� MECH. FEE PL. CK FEE ,,,R,,, ;--*��;,�... CONST. FEE ELECT. FEE _,>�,.•. ,- �w� �--��-^-°yam`"". SMI FEE �-..4 FEE PLUMS � � " lob Address- gp��• 1 i - �H� ( - - Owner / y� s A PERMIT NO.SSpoce X3.9.8 9 2.1. � -Community _. - _-1...-rtU / _ -Valuotiorr'-'—'-•--"'--. $ �• c" �y�-.r• Dote ....5/� .•Dist- f� Off. F.C.C. MH Permit Fee 5 Micro Film Fee Cop S use of Permit i"-'�- /�' Parcel No. Use Case No. Ck. By / Mach. Fee Dbl $ Pl. Ck. Fee 5 Set Backs Lot Size Construction Fee Dbl $ © Legal Description ��- b"" / � / -. // �SL6..• �! t✓ M F S S R Electrical Fee Del• $ Zone Restrictions ou "" ' Type r ti4' SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No.s Plan Checker Final Dote Inspecio Unit ` Sp. Insp. Fee $ Dental. Fee 5 Const. Lender _ A Branch , ` .'pr•^ N/ Supplimentol Permit Numbers i Registr. Fee $ Mileage Fee $ \Addre s, •,-' •' ,(/ 1 City Zip !,\ Witness Fee S Reinsp. Fee $ Owner/Agent ' . ' Tel. s Zip Total Fees . $ Q ' Address % -•7•' / �• / I -r/ 'r,,�J ...4 C% (,�✓ t�/fV City / - -•Zip c. ! 15..• t �0 zip /Ll ft a "a't �•r' 4/�/ 6' ' M.O. ❑ N.C.❑ Cash ❑ Check Received by Contractor s a _ 'Tel.'' Licensetl Trees rrequired Sewage System 'Address i, • City Zip f 'T • LL irx Pf THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District' FOR 120 DAYSSHALL ALSO CAUSE PERMIT TO BECOME VOID. r I HEREBY AGREE THAT ALL WORK IN-IN'CONNECTION WITH THIS PERMIT WILL BE DONE ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. ZVI EREBY CERTIFY THAT THE INDIVIDUAL. WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284.208 (Rev. 1/80) \ ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. r verified by:= p40:.,. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 2 Set Back :� Ftds.'8 Frms - 33 34 Ventilation System Plenums 8 Ducts 2A 3 A Slob Grade Steel Grout Blocks .....,.__!`n'c(O /"�J=/Q. 35 36 37 Furnace Comport. Inlets 8 Outlets Combustion Air 5 Bond Beams �a/X ,_ 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device f 9 Garage Fire Wall 42 Commercial Hood 10 Fireplace P.L. 43 Final 10A Fireplace,, T.O. [] OP'N _ ADDITIONAL INFORMATION + ,. ' SEWAGE SYSTEM SIZE & LOCATION . 11 Exterior Lath 12 Internal Lath r 12A Drywall 13 Finish Grade INSULATION Thick' R Value 7A ` 'Walls (Botts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final PLUMBING APPROVALS - ---- - - - - ------------ 15 Gr1 Plumb 16 Water Piping 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 R EAR OF PROPERTY LINE ELECTRICAL APPROVALS P/L y — n \• - P/ 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring . 29A Grounding Wire 29B Bonding 30 Fidtures 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 Zz i Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner r Llk"Arc,tic t __ _ Contractor—__ A/dSress_-_ Address—.--_— ----_ Addres�Qa���/` j City— lv w�( / City_— City--_ Phone, r:� / �7 7 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 Countyf�/W O without an encroachment permit. 1 NOW, therefore, it is agreed that I (we) will not occupy said property and will n t ca a 'd prop e o ied (we) have complied with all laws of the County of Riverside and the State of California governi sa' pro DATE ___--- SIGNATURE OF OWNER AND/OR AG Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the' Issuing of a Construction Permit. I SPACE NO. USE OF STRUCTURE JOB ADDRESS_ ��.!_�-fes/ --� SINGLE FAMILY DUPLEX Z F L DE CRIPTION OF PROPERTY / �� - APARTMENTS AGRIC. a N Q ��oZ COMMERCIAL INDUSTRIAL L, j '^ COMMUNITY �- " A TERATION G Z NO. OF SUBMITTED PLANS USE OF PERMIT - 4 CASE NO. t C Z NO. OF PARKING SPACES REQUIRED _— NO. OF BUILDINGS NOW EXISTING -- Q o ZONE ETBA(fKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK RDINANCE N __— OF FEET REQUIRED ON TREET DATE SIGNATURE OF LAND USE OFFICIAL — t DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET ---- EET__CURB C URBAND GUTTER REQUIRED: YES ❑ NO ❑ —STREET t - C6 W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET Q IMPROVEMENT? YES ❑ NO ❑ O °C DATE SIGNATURE OF ROAD DEPT. OFFICIAI = SWIMMING POOLS PUBLIC H AW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS in FLOOD CONTROL— t- z AIR POLLUTION cc _ DIV OF HWY c cc = — YOUR PROPERTY MAY BE SUBJECT TO c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT RI LII nimn DCDMIT ' PERMIT NO. PERMIT NO. 3,98921 - DEPARTMENT OF BUILDING & SAFETY. +` D • COUNTY OF RIVERSIDE FIELD OFFICE Space Dsr� j CONSTRUCTION ESTIMATE : NO. ELECTRICAL FEES .• NO. PLUMBING FEES . . 1ST FL. 2ND.' FL. 'POR. 1. - t� GAR. CAR P. " .SO. WALL f •• ESTIMATED CONSTRUCTION SO. FT. @` " UNITS' SO. FT. @- YARD 5PKLR SYSTEM Community. SO. FT. @-MOBILEHOME SVC. BAR SINK • - - SO., FT. @ POWER OUTLET - ROOF DRAINS FT. @- DRAINAGE'PIPING SO. FT.�rla>" - DRINKING FOUNTAIN SO:' FT. @ URINAL VALUATION WATER PIPING v? NOTE: Not to,be used as property tax valuation SWIM POOL, PVT �' FLOOR DRAIN ,. Micro Film Fee MECHANICAL FEES SWIM POOL„rCOMM WATER SOFTENER Use/Cole No. - Ck VENT SYSTEM FAN EVAP. COOL. HOODy , SIGN r ' - -WASHER (AUTO)(DISH) Set Backs APPLIANCE -'"w+'°'+ '' DRYER" - GARBAGE+DISPOSAL Description FURNACE •, ' UNIT WALL 'FLOOR, SUSPENDED - LAUNDRY TRAY , ' AIR'HANDUNG UNIT �.� 'CFM IDLE METER - KITCHEN -SINK y ABSORPTION SYSTEM_. L - • •B.T.U. TEMP USE PERMIT SVC WATER CLOSET” . Dbl $y COMPRESSOR - ` - HP r "., POLEf TEMP/PERM LAVATORY Plan Checker q - t s HEATING SYSTEM FORCED GRAVITY i• t AMPERES SERV ENT 'SHOWER BOILER' . - B.T.U.- SO. FT. @ a BATH TUB Const. lender ' •' - \" f { • t ' SO. FT. @ a WATER HEATER ° - "S0: FT: RESID.-@1'/<a. SEWAGE DISPOSAL 1,; SO."FT. GAR @: 344 HOUSE SEWER' f " *" Reinsp. Feeg. `* -GAS PIPING - 1 .,_ PERMIT FEE - _ PERMIT,FEE 7 -- PERMITTEE • S DBL. TOTAL FEES °a MOB, HM. FEE . " MICRO EEE' - MECH: FEE. ,-. PL CK: FEE," CONST." FEE ELECT.* FEE SMI FEE FEE PLUMB. FEE • .. ' PERMIT NO. - Job Address ', = - M` - l: . • • " - Space Zips Owner - - L 398921 - �- ,. Community. y.rt"f Valuation- - .Date ,. ,t. S ; r, •�. MH Permit Fee .5. r+/Y. Micro Film Fee Cop S Ate 761 Permit ,(�• '� . '" /��`° 6% �,..,i ->�'� j ' .,� •r• Parcel No. �y �p.2. ., f•[./afi� Use/Cole No. - Ck By v. ; J Mach. Fee '. Dbl S'. PI Ck .Fee : S d• Set Backs .Lot. Size , Construction fee Dial $`Legal Description L i �r\,�I J f V'� /C Electrical Fee 061 S�a Zone Restrictions % y+ / `' • y` - Group s -Type ` y SMI Fee. S Plumbing Fee -r Dbl $y Bond Amt. Plan No. t. ♦i—Ile Plan Checker q - t s Fi if, Dote , - Ins for - i . 'Unit Sp. Insp. Fee ` $S r Da oLFee �' S Const. lender ' •' - \" f { Branch Supplimental Permit Numbers r '' • `' Regstr..Fee g Mileage FeeS Add r s % C .fCity j Zip - • ,t../�,yTiW ,r,....:r. S.. W itness Fee •, 1,; •f I' \� r Reinsp. Feeg. . •, "Own/Agent er r 1 .,_ Tel. Zip Total Fees • • S Address City "- „- - 't' s Zip �-N.C.. Cash" Q {heck '/ 7V65. :./: O V I �.. A/ ��'G�V`" � /! S, 7"6" RaceiJed :by + Contractor ' _, • ., • Tel.' , _,. License# - Trees required. Se age -System' Address" r +F -�y City - ' 'Zip i • V y ati , `ic . r T rlL ,"y P. THIS PERMIT SHALL,'BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS: CESSATION OF WORK 'verified by: S"zi District FOR'120,DAYS _SHALL.ALSO CAUSE PERMIT TO BECOME V(,5ID., r ' L `✓% ' ' I HEREBY AGREE THAT ALL WORK' IN CONNECTION WITH HIS PERMIT WILL,BE DONE IN. ACCORDANCE WITH s THE LAWS OF RIVERSIDE COUNTY AND THE. STATE OF CALIFORNIA. HEREBY CERTIFY THAT THE INDIVIDUAL• WHO PREPARED TNE,PLANS AND SPECIFICATIONS HAS DONE SO IN •'T• Form 284-208 (Re .:1/80)�,�/�,[\ CORDANCE WITH. SECTION 5,541 OF' THE BUSINESS AND PROFESSIONS CODE OF THE STATE 'OF CALIFORNIA.