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391685 (RPL)BUILDING PtkM1T PERMIT NO. DEPARTMENT OF BUILDING & SAFETY FlItTl 3 916 85 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES � �.. IST FL. SQ. FT. @ $ UNITS Own C 2ND. FL. SQ. FT. @ YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK Dist. GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ MH Permit Fee DRAINAGE PIPING ^'� 1 WALL SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL @ ESTIMATED CONSTRUCTION VALUATION $ Cop $ WATER PIPING ` 12 !Nft NOTE: Not to be used as property tax valuation SWIM POOL, PVT 7 0 FLOOR DRAIN Ck. By MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Lot Size S VENT SYSTEM FAN EVAP. COOL HOOD SIGN WASHER (AUTO)(DISH) F S S R APPLIANCE DRYER Dbl $ GARBAGE DISPOSAL l/ FURNACE UNIT WALL `FLOOR SUSPENDED .r. LAUNDRY TRAY r AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Type 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 Plumbing Fee BOILER B.T.U. SQ. FT. @ c BATH TUB Sp. Insp. Fee SQ. FT. @ c WATER HEATER ;) Zip SQ. FT. RESID @ 1 t/. c SEWAGE DISPOSAL Demo]. Fee $ Registr. Fee $ SQ. FT. GAR @. 3/4 c HOUSE SEWER Reinsp. Fe %, O er gent - A w. GAS PIPING Tel. PERMIT FEE PERMIT FEE PERMIT FEE Address n DBL. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE EL . FEE SMI FEE FEE PLUMB. FEES i Received by Contractor F Tel. LicenseM Trees required Sewage System Address City Zip PERMIT NO. Job Address J ^ - � �.. >� t Space Zi Own C 391685 Commtu`nity (/ Valuation $ ' Date / / C Dist. Off. F.C.C. MH Permit Fee $ ^'� 1 -' 1 ( �3 Micro Film Fee Cop $ Use of Permit C ` 12 !Nft !- Parcel No. (� } Use/Cose No. Ck. By Mech. Fee Dbl $ Pl. Ck. Fee $ Set Backs Lot Size S Legal Description F S S R Construction Fee Dbl $ ^ ` •+-"--� 3 l/ .r. :JI Electrical Fee Dbl E Zone Restrictions Group Type SMI Fee $ `L_ J Plumbing Fee Dbl $ Bond Amt. Plan No. Plan Checker Fin-' ' r ,nsr,lETfr Unit 3 �0� Sp. Insp. Fee = f Const. Lander Address Branch Zip 4 Supplimental Permit Numbers Demo]. Fee $ Registr. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fe %, O er gent - A w. Tel. Zip Total Fees s Address n City .•. Zip M.O. N.C. Casho Check( },-� — (� .j i Received by Contractor Tel. LicenseM Trees required Sewage System Address City Zip f T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK Sewer District ` FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HER E LAWS AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. s� v HE EBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ( WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. Form 284-208 (Rev.8/78) ©s - verified by: 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 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 Commercial Hood 10 Fireplace P. L. 43 Final 10A Fireplace T. 0. 0FI 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 24 Gas Test 25 Final _ N//9ip 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 O Q 0Q oG oa x w Q w Z u.► � � �0 � 4 OW-'- 4 f r 1• f too*' i oc-,Q--rscim. y 14-72,;rr!f q NOT:CE: THIS IS NOT A BUILDING PERMIT DISTRICT APPLICATION TO CONSTRUCT Permit No r DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE 284 199A 9/74 CANARY—FILE, PINK—APPLICANT ff f£Z Owner Architect — _ Contractor - / Addres (oL2l L7 Address—__ Address ----- city � 0 City__— City -- ity__.Phone—�/� Phone Phone _ Phone— C W I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, andl 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. 1 SPACE NO. 1 USE OF STRUCTURE JOB ADDRESS S_ 0 — SINGLE FAMILY [/�C DUPLEX r -74e,/ LEGAL DESCRIPTION OF PROPERTY Ye APARTMENTS Z H uj 0 AGRIC. El # —o-�--L :3QA — `v / COMMERCIAL INDUSTRIAL j %n COMMUNITY ALTERATIONS ❑ C Z, USE OF PERMIT NO. OF SUBMITTED PLANS — Qe V a CASE NO. — p Z NO. OFP RKING SPACES REQUIRED _—_ NO. OF BUILDINGS NOVSTING — ZONE — ETBA6KS: FRONT SIDE REAR CM ~GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACKRDINANCE OF FEET REQUIRED ON STREET DATE' SIGNATURE OF LAND USE OFFICIAL — DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H oe a 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 Z SWIMMING POOLS PUBLIC f WSEWAGE DISPOSAL — I _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS vt FLOOD CONTROL t- W AIR POLLUTION W DIV OF HWY t- a 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