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368814 (PLBG)ovIuumv rcumn PERMIT No. DEPARTMENT OF BUILDING & SAFETY FIELD T 36884 COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS Dote ,J✓.. �� Dist. / / 2ND. FL. SQ. FT. @ MH, Permit Fee Is YARD SPKLR SYSTEM Use of Permit f z'y j -y / l}'�- �/ CJV V '��✓ FOR. SQ. FT. @ MOBILEHOME SVC. BAR SINK PI. Ck. Fee § GAR. CAR P. WALL SQ. FT. @ POWER OUTLET ROOF DRAINS F S S R DRAINAGE PIPING SQ. FT. @ Zone Restr' tions SQ. FT. @ DRINKING FOUNTAIN Type y L if SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ Plumbing Fee Dbl E „5 URINAL WATER PIPING Plan No. NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Unit MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Supplimentol Permit Numbers VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Witness Fee E APPLIANCE DRYER Owner/Agent / GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Address �/ Y.� ^�. 1 V �'.. (r/ LAUNDRY TRAY M.O. N.C. 0 Cash 'eck AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK License# ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Cit Y Zip 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 @lt/.c SEWAGE DISPOSAL t SQ. FT. GAR @ % c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE i1 iJ DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 3 6 8 814 Job Address Space � 2 - 3 al . N•9,14 &ev Zi Owner abz.� - e�-ej'&u 4. e"9'ele- Community 144 2L/y—� / Al / Valuation E Dote ,J✓.. �� Dist. / / Off. F.C.C. MH, Permit Fee Is Micro Film Fee Cop § Use of Permit f z'y j -y / l}'�- �/ CJV V '��✓ Parcel No. //J3 _,i..i✓ Use/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee § Set Backs Lot Size Construction Fee Dbl E Legal Description /) '% r� L' t.. .r^ 1% /„j ms's �y �V/ J%U_..� F S S R Electrical Fee Dbl E Zone Restr' tions Group- Type y L if SMI Fee § Plumbing Fee Dbl E „5 Bond Aml. E Plan No. Plan Checker Fi(n,QI Dote^ V C7- nspector -7 4 Ck Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch,,-, Supplimentol Permit Numbers Registr. fee § Mileage Fee § Address Cit//y 1 Zip Witness Fee E Reinsp. Fee § Owner/Agent / Tel. Zip Total Fees § Address �/ Y.� ^�. 1 V �'.. (r/ City i'- iii' ✓%•� i r? �/ LL.. % ��_J�„7 M.O. N.C. 0 Cash 'eck Received by %Z -6-19A, ,, Contractor ` Tel. License# Trees required Sewage System Address h Cit Y Zip T LL P .Sewer District Form 284-208 (Rev.B/78) THIS PERMIT SHALL BECOMEVOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: FORA20 DAYS SHALL ALSO CA/UE I TOME__VO�ID. I HEREBY AGREE THAT ALL V71om ECTIO AMI THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND T STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE IWIVIDUAL 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. i NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS' 1 Set Back 33 Ventilation System 2 Ftgs & Frms 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 38 Compressor 6 Roof Deck 39 Appl. Clearance 7 Framing 40 Fire Damper 8 Vents 41 Smoke Detection Device 9 Garage Fire Wall 42 Commerial Hood 10 Fireplace P. L. 43 Final 10A 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 (Botts) 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 4 X24 Gas Test �($.—�C, --�., � o z Final 64c - T) oar Tank Pit L. Line PSL REAR OF PROPERTY LINE ELECTRICAL APPROVALS P/ 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 Owner WiC CARR Architect -- -_—_ Contractor- 6WIV&P, - Address MWN Address--- Address------ ---- Cit `k --- Y � 1` T City--- City----- Q Phone �vPhone _ 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 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 a pied until (we) have complied with all laws of the County of Riverside and the State of California governing said property. :5490 , DATE ------ SIGNATURE OF OWNER AND/OR AGENT _ Approval by Signature from the Following Departments Lis d elow Must Be Obtained Prior to the Issuing of a Construction er it �-y;2- S J I SPACE NO. / USE OF STRUCTURE JOB ALI&- . �,�,��, ADDRESS SINGLE FAMILY DUPLEX 4= > LEGAL DESCRIPTION OF PROPERTY _ -rte-='- TMENTS❑__ AGRIC. [1 Q -—"S MERCIAL INDUSTRIAL ❑ C a COMMUNITY ALTERATIONS E]Z PE NO. OF SUBMITTED PLANS - USE OF PERMIT - LCASE NO. -- - O Z NO. OF PARK.V4G SPACES REQUIRED - — NO. OF BUILDINGS NOW EXISTING - a ZONE�SETBACKS: FRONT SIDE REAR J m GRAD G PERMIT REQUIRED? YES ] NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON TREET DATE -s-7ea-<-2 SIGNATURE OF LAND USE OFFI9A t DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - H CURB AND GUTTER REQUIRED: YES ❑ NO ❑ -STREET a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET 0 Q IMPROVEMENT? YES ❑ NO ❑ O °C DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL = SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS ,n FLOOD CONTROL f - Z AIR POLLUTION � W _ :2 DIV OF HWY cc c — 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 BUILDING PERMIT PERMIT NO. 368814 DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE D ST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES Zi Owner r IST FL. SQ. FT. @ $ UNITS rDist. ` / Off. 1r— F.C.C. _ 2ND. FL. SQ. FT. @ UseofPermit LJ 00 /// !!! YARD SPKLR SYSTEM Use/Case No. Ck. By POR. GAR. SQ. FT. @ MOBILEHOME SVC. BAR SINK Construction Fee Dbl E Legal Description �. r z z. 1y,9,5&,4,p SQ. FT. @ POWER OUTLET ROOF DRAINS Electrical Fee Dial E CAR P. SQ. FT. @ Type DRAINAGE PIPING Plumbing Fee Dbl E Bond Amt. $ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ a DRINKING FOUNTAIN URINAL WATER PIPING Inspector Unit Sp. Insp. Fee $ NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN Registr. Fee $ Mileage Fee $ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Owner/Agent f Tel. Zip VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) Ci j �/Zip ry /� �"� u % 'vj I ��+.2.3 Tel. LicenseX M.O. N.C. Cash eck APPLIANCE DRYER Trees required GARBAGE DISPOSAL Address City ` Zip 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. @ c BATH TUB SQ. FT. @ c WATER HEATER SQ. FT. RESID @1'/.c SEWAGE DISPOSAL S0. FT. GAR @ 3/4 c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FE& PERMIT NO. 36881 4--x'30 Job Address Space Zi Owner r Community A %,%� Valuation $ Dote 1 3.1 •%fes rDist. ` / Off. 1r— F.C.C. _ MH.Permit Fee b Micro Film Fee Cop y UseofPermit LJ 00 /// !!! Parcell No. Use/Case No. Ck. By Mach. Fee Dbl $ Pl. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl E Legal Description �. r z z. 1y,9,5&,4,p F S S R Electrical Fee Dial E Zone Restr' tions Group Type SMI Fee $ Plumbing Fee Dbl E Bond Amt. $ Plan No. Plan Checker Final Dolen, �p Inspector Unit Sp. Insp. Fee $ Demol. Fee E Const. Lender Branc Supplimental Permit Numbers _ Registr. Fee $ Mileage Fee $ Address ity Zi r Witness Fee E Reinsp. Fee y Owner/Agent f Tel. Zip Total Fees $ Address yy � /� tD( f`Cl 1 V �/ ,(/ - `. L'f Contractor Ci j �/Zip ry /� �"� u % 'vj I ��+.2.3 Tel. LicenseX M.O. N.C. Cash eck Received by Trees required Sewage System Address City ` Zip I LL P TyJS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District FO 20 DAYS SHALL ALSO CAUI0 TO ME VOID. t I HERBY AGREE THAT ALL ECTION-W_f� �THTHIS PERMIT WILL BE DONE IN ACCORDANCE WITH %1 THE IAV/S OF RIVERSIDE CQUNTY AND T, E STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN Form 284-208 (Rev.8/78) ©s ACCORDANCE WITH SECTION 5.541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by: