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368631 (BLCK)PERMIT NO. 368631 Job Address ,:._. K Space Zip Owner . . Co—un y r _ Va uali n E r _ Date Di ar,.. ,,, F.C.C. MH.Permit Fee E Micro Film Fee Cop E Use o Permit f� f�" �. p�� y� , t/ �,�% 0 - r 7�_ ° �7�`y*�'��fU- "1 � j�..• arce.No. `.'r Use/Cos; o. Ck. By Mech. Fee Dbl E PI. Ck. Fee E Set Backs 7 Lot Size i Construction Feb Dbl $ Legal Description F S 5 R Electrical Fee Dbl E Zone Restrictions Grou p e� yp SMI Fee E Plumbing Fee Dbl E Bond Amt. 1;1.n E No. ., f Plan hecker Final ;ate V Inspect � Unit Sp. Insp. Fee - E Demol. Fee E Const. Lender Branch Supplim nt Permit Numbers Registr. Fee E Mileage Fee $ Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent r Tel. Zip Total Fees E / Address r: / / ! /"' lr City Zip ' M. 0. N.C. Cash Check Received by � Contractors �` ' � / *• Tel. h -y LicenseN Trees required rpt Sewage System Address ! j� '"��r- City —" �.,.r Zip - T LL A 4klj / ! . THIS PERMIT 5 LL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK i werifiedl ;!Sewer District / FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THATIOPPITH THIS PERMIy;WILI BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE H S A F CALiFNiA. PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN I HEREBY CERTIFY THAT THE INDIVJDUAL W'- " . . A <CORDANCE WITH SECTION 5541 LF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA 1' Form 284-208 (Rev.8/78) . - - (. NO. OPERATION DATE INSPECTOR NQ,'OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs & Frms 34 Plenums & Ducts 2A Slab Grade a3 7h l 35 Furnace Comport. 3 Steel S 36 Inlets & Outlets 4 Grout Blocks Jo. y 7IQ 37 Combustion Air 5 Bond Beams5-130 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 10A Fireplace T.O. U 11 Exterior Lath 12 Internal Loth 12A Drywall 13 Finish Grade INSULATION Thick R Value 7A Walls (Botts) 12B Ceiling (Batts) 12C Ceiling (Blown) 14 Final No ADDITIONAL INFORMATION PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FIELD 368631 COUNTY OF RIVERSIDE Dsr CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ UNITS 2ND. FL. SQ. FT. @ YARD SPKLR SYSTEM FOR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ DRAINAGE PIPING WALL SQ. FT. @ w w DRINKING FOUNTAIN r � URINAL SQ. FT. @ ESTIMATED CONSTRUCTION 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 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. @ t BATH TUB SQ. FT. @ t WATER HEATER SQ. FT. RESID @1'/.0 SEWAGE DISPOSAL SQ. FT. GAR @ 3/4 t HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES MOB.HM.FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE LL r� I / w 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 ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final SEWAGE SYSTEM SIZE & LOCATION Pit L. Line REAR OF PROPERTY LINE P/L P/L i STREET NAME NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 1. DISTRICT �� 4 Permit No 284 199A 9/74 CANARY—FILE, PINK—APPLICANT Owner Architect — -- Contractor �� Addres r `S�_ Address=c;-2bZ!_� _�214TAddress___ Citi (��aa /�^(� City-- City_ /4e2LA Phone Phone _ Phone–=3 oC 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 Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. 0 s-3 ISPACE N0. ��, / 1 USE OF STRUCTURE JOB ADDRESS =_aL.�'%� `� I�r© SINGLE FAMILY DUPLEX / LEG L DESCRIPTION OF PROPERTYL� C `� Z W l� APARTMENTS AGRIC. oaL N N�� �_J _SCG COMMERCIAL INDUSTRIAL ❑ COMMUNITY S ALTERATION G G NO. OF SUBMITTED PLANS — USE PERMIT CASE NO. / D p Z NO. OF ARKING SPACES REQUIRED —_ NO. OF BUILDINGS NO EXISTING Z � ZONE j�SETBA(fKS: FRONT SIDE REAR J D GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE # OF FEET REQUIRED ON STREET 01 DATE `" - I — SIGNATURE OF LAND USE OFFICIA DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET - — z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET N- d W CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D IMPROVEMENT? YES ❑ NO ❑ °C DATE _ SIGNATURE OF ROAD DEPT. OFFICIAL _ SWIMMING POOLS PUBLIC Q W SEWAGE DISPOSAL FOOD ESTABLISHMENT _ \ WATER POLLUTION REMARKS FLOOD CONTROL— H z AIR POLLUTION `u DIV OF HWY 0 a — YOUR PROPERTY MAY BE SUBJECT TO o. o l 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 & SAFETY FIELD OFFICE DST 368631 8 6 31 COUNTY OF RIVERSIDE V UJ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. FOR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Owner SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SQ. FT. @ POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL @ VALUATION $ WATER PIPING NOTE: Not to be used os 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 S S GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Zone Restrictions 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 Demol. Fee SQ. FT. @ c WATER HEATER Const. Lender SQ. FT. RESID @I /.c SEWAGE DISPOSAL SQ. FT. GAR @ 3/. c HOUSE SEWER Address City Zip Witness Fee S Reinsp. Fee GAS PIPING PERMIT FEE Owner/Agent PERMIT FEE PERMIT FEE DBL. TOTAL FEESMOB.HM.FEE Total Fees M.O. MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 368631 Job Address Space Zip IrzZ. Owner Community Valuation a i Dateist. F.C.C. MH Permit Fee $ Micro Film Fee Cop y Use of Permit `� � / & � �7 d '7' e , ;91VI j` �7 !lJ(�T'� Parcel No.. ]' /y Use/Case No. Ck. By Mech. Fee Dbl $ PI. Ck. Fee $ Set Backs Lot Size n /J Construction Fee Dbl S Legal Description F �Li%�� n.2,. � E Z Z � �<+ � S S R Electrical Fee Dbl $ Zone Restrictions Group Type SMI Fee $ Plumbing Fee Dbl E Bond Amt. $ Plan No. Plan Checker Final Date — L/ ?� `L/ Inspector Unit Sp. Insp. Fee = Demol. Fee $ Const. Lender Branch Supplimental Permit Numbers Registr. Fee y Mileage Fee $ Address City Zip Witness Fee S Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees M.O. $ vy, N.C.0 Cash Check Address "�� City Zip Received by Trees required Sewage System n�7AI Contractor i/ Address f Tel. City Zip LicenseN T U. P w Sewer District form 284-208 (Rev.B/78) ©s 1 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: FOR 120 DAYS SHALL ALSO CA SE PERMIT TO BECOME VOID. I HEREBY AGREE THAT NFZC,. M'9VITH THIS EERMIYWILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AW THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN CORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.