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385082 (SPIN)PERMIT NO. DEPARTMENT OF BUILDING & SAFETY M///; 1385082� COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P.EEq WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS Val tion $ SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC. SQ. FT. @ BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ Q. FT. @ URINAL VALUATION $ 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 Plan No. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Insp for 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 M.O. M N.C. n Cash n Check SQ. FT. @ c WATER HEATER Tel. (' SQ. FT. RESID @1'/.c SEWAGE DISPOSAL Sewoge System SQ. FT. GAR @ s/. c HOUSE SEWER t GAS PIPIN PERMIT FEE PERMIT FEE PERMIT FE-,,,- EsDBL. DEL. TOTAL.{EES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE SMI FEE17^-•� FEE PLUMB. FEE PERMIT NO. 13850821 Job Address Spoce Zip ,_A Owner/ Com jity L V""— — Val tion $ Date �./,�• / / Dist. Off. F.C.C. MH Permit Fee $ Micro Film Fee Cop $ Usee�ppffPerrmmiit-'1 �F 'Parcel ` ///_ ' ✓ r 7 �i�� .C"1.V!•ti-ire.-m..�4...-!t^"'�.. No. �ry I 7 / d Use/Case No. Ck. By /„"� Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl $ Lpe/gal Description / '`� L F �. �� L 5 S R Electrical Fee Dbl $ Zone Restrictions Group T e P yP SMI Fee s Plumbing Fee Dbl s Bond Amt. $ Plan No. Plan Checker Final Dat 1 7 Insp for Unit /1 Sp. Insp. Fee $ Demol. Fee $ Const. lender Branch Supplimental er it Numbers Registr. Fee j Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fees Owner/Ager I r 1 i��'� •_moi :^.t//� Tel. Zip � (c"i ` � C� 2— � Total Fees $ Address "` T V V w - �'s•.i i./t�-`�✓�"'Y ctr• City �. Zi ���(....�..�.a..�-�'� 1►' -L/ M.O. M N.C. n Cash n Check Received byJ Contractor v Tel. (' License# r Trees required Sewoge System Address City Zip t T LL P Sewer District Form 284-208 (Rev.8/78) ©s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK veriNi d b 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 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums 8 Ducts i 2A Slab Grade 35 Furnace Comport. a 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.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 ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final STREET NAME REQUEST FOR CERTIFICATION 2—e-/— % Date TO: Local governing authority County of Riverside SUBJECT: Request for certification of acceptability of property under applicable local building codes). REFERENCE: Location of dwelling: 'i—e-1 i�S - IPG= i yf122 a•l;z I hereby request an inspection of the above located dwelling for a determination of the following, as well as a Certification of Acceptability (or Nonacceptability as the situation warrants): ❑ 1. Compliance with local building code(s) applicable to the existing dwelling. 13 2. Compliance with applicable local code(s) on room addition. X3. Compliance with applicable local code(s) on garage conversion. ❑ 4. Compliance with applicable local code(s) on sewage disposal system. ❑ 5. Compliance with applicable local code(s) on other special construction. (describe) Signed: Address: S 284-49 8/76 (Owner/Agent) �t. Zip: CERTIFICATE OF ACCEPTABILITY/NONACCEPTABII_ITY Owner: '(t` !' 9 �C dt .iTd C Date of Inspection Location of Dwelling: �� r )'�Aj Building Permit No. Community: J I certify that as a part of my official duties as building inspector, I have on the date indicated, inspected the above located dwelling as requested, and have noted the following violation(s) of the applicable building code(s): ❑ None. There is no violation of the applicable building code(s). ❑. The following nonacceptable conditions exist: ❑ Sanitary inadequacy: ❑ Structural hazard: ❑ Hazardous wiring: ❑ Hazardous plumbing: ❑ Faulty weather protection: ❑ Fire hazard: ❑ Faulty materials of construction: ❑Additional details are noted on reverse side of this form. Remarks: 0. Conforms to other applicable ordinances. ❑ 1 further certify that a record is available indicating proper completion: Reinspection/ New Permit Required (Building Permit No.) (Completion Date) ❑ The building permit completion record is not available. Records indicate age of this structure has led to destruction of (he completion record. OWThere is no record available of the construction involved. However, the construction appears I to meet code. ' r Signedd~%�,L--z"o � - >v,/�•��'/ ��°`l � �./L... - v (Typed or Printed Name of Building Inspector) County of Riverside City Date of Certificate 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 I-- '�����e- Architect— —_ Contractor___.. _ l-VIII-,���-�� U0'*Address___ Address— Address_ -- City Lt!' City_— City_ hone— Phone-----,-- Phone Phone _ _—_._—cc cc W 1 (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. 1 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. e0 \\_`— OF OWNER AND/OR <=yy."5" DATE�C SIGNATURE AGENT Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. v YS� SPACE NO. USE OFSTRU TURE JOB ADDRESS �__.— ,._-- SINGLE FAMILY PLEX ❑ /_ } LEGAL DESCRIPT ON OF PROPERTY =. , APARTMENTS AGRIC. El w --' COMMERCIAL ❑ INDUSTRIAL ❑ �' ~ `^ GG COMMUNITY �''���� + ALTERATIONS ❑ Z NO. OF SUBMITTED PLANS — USE OF PERMITP _ jQ CASE N0. q Z NO. OF PAJRKING SPACES REQUIRED — -- N0. OF BUILDINGS NOW EXISTING q ZONE SETBACKS: FRONT SIDE REAR m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # —_ OF FEET REQUIRED ON -:f2 STREET DATE��-- SIGNATURE OF LAND USE OFFICIAL �` —_ DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET --- F z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET i H a CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET IMPROVEMENT? YES ❑ NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL x SWIMMING POOLS PUBLIC W1 SEWAGE DISPOSAL — FOOD ESTABLISHMENT x WATER POLLUTION REMARKS FLOOD CONTROL— h z AIR POLLUTION W DIV OF HWY x a — YOUR PROPERTY MAY BE SUBJECT TO o FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT PERMIT NO. 1385082 DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE F/;;/] COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS P�arce'l7N�o./ y w� SQ. FT. @ YARD SPKLR SYSTEM MOBILEHOME SVC., SQ. FT. @ BAR SINK POWER OUTLET SQ. FT. @ ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL VALUATION $ 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 Supplimentol`Permit Numbers GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Address City Zip 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 City Zip SQ. FT. @ c WATER HEATER SQ. FT. RESID @ 1114 c SEWAGE DISPOSAL SQ. FT. GAR @ 1%c HdUSE SEWER GAS �fF LNG PERMIT FEE PERMIT FEE 1 PERMIT FE DBL. TOTAI,Aw- MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE 7 rEE PLUMB. FEE PERMIT NO. 13,85082Co�rmyqily Job Address II , / ) Space Zip Owner Val tion Date ^ Dist. OOffff..+ F.C.C. MH Permit Fee $ Micro Film Fee Cop § Use f Permit.` n A� P�arce'l7N�o./ y w� Use/Case No. Ck. By Mech. Fee Dbl E PI. Ck. Fee $ Set Backsp1roup Lot Size Construction Fee Dbl E Le al Des-cr�i'pt+ion /'}�. vSou' �CIVZoneRestrictions F S S Electrical Fee Dbl $ R� Type SMI Fee E Plumbing Fee Dbl $ Bond Amt. E Plan No. Plan Checker Final Dote ! / In ctor Unit Sp. Insp. Fee $ Demol.. Fee E Const. Lender Branch Supplimentol`Permit Numbers Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee E Reinsp. Fee $ Owner/'4gp�t � ' r � Yl r/y)M/:j iCJ� Tel. � � , ^ Zip 3-- C - V Total Fees y - Address ' City lZip '�j M.O. El N.C. Cash Check Received by - Contractor Tel. License# Frees required Sewage System ... Address City Zip T LL P Sewer District Form 284-268 (Rev.8/7 ©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 WITH1THIS 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 PROFESSIONIS. qDE OF THE STATE OF CALIFORNIA.