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368898 (BLCK)BUILDING PERMIT t — PERMIT NO. DEPARTMENT OF BUILDING & SAFETY7jDS;T 368898 COUNTY OF RIVERSIDE FIELD CONSTRUCTION ESTIMATE NO. • ELECTRICAL FEES NO. PLUMBING FEES• IST FL. 2ND. FL. FOR. GAR. CAR P. WALL _ � � ESTIMATED CONSTRUCTION SQ. FT. @ UNITS Valuation E I v6�' " 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 Plan No. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED pector IInss12� 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. .C. Cash aeck SQ. FT. @ c WATER HEATER Tel. � SQ. FT. RESID @I'/.c SEWAGE DISPOSAL Sewage System SQ. FT. GAR @ 3/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL F kS ,,".r MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEE CONST. FEE ELECT. FEE 17 L SMI FEE FEE PLUMB. FEE PERMIT NO. 36889 Job Address Space leazl' Zi Owner-' Community / �} ( �%/ ./r,." ?_ Valuation E I v6�' " Dote j� _ `r _� w 17�J Dist. J / Off. �{ F.C.C. MH. Permit Fee E Micro Film Fee Cop E Use of Permit /sy /+•w^1�j !'1fJ !I {i1� 6r Parcel Nom.',// ��/ ��^✓�~�i� Use/Case No. Ck. By Meth. Fee Dbl E PI. Ck. Fee $ Set Backs Lot Size Construction Fee Dbl E Legal Description •� 49 , �d' ..0 � �l. +G- G.y F 5 5 R Electrical Fee Dbl E/ Zone Restrictions Group Type SMI Fee E /� Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker Final Date 401 c� - CJ- ,/ pector IInss12� Unit Sp. Insp. Fee E Demol. Fee E Const. Lender Branch Supplima t ermit Numbers i Regisir. Fee E Mileage Fee E Address City Zip Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip Total Fees E Address l..f City Zip M.O. .C. Cash aeck Received by //�/7/L�.� � Contractorwa ,�( / t +ter � ��.�� ..;,,,... �� t `�/'• f„! 's Tel. � Licenselt Trees required Sewage System Address r Ci N i Zip T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK verified by: `Sewer District FOR 120 DAYS SHALL ALSO CAUS RMIT TO BF1.QME VOID. !pa-' I HEREBY AGREE THAT ALLVJWI� H THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND TH STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDI"2DUAL 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. Form 284-208 (Rev.8/78) _ _ ... --_•r. 9. �.._.-.«t,-.• 3s- moi: _. e_. --r--.-. ai__. �r _-o- 4A.--.a6.r NO. OPERATION DATE INSPECTOR NO. OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS 1 Set Back 33 Ventilation System 2 Ftgs 8 Frms 34 Plenums & 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 – a — `� 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. NO. ADDITIONAL INFORMATION I 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 -s)-q-12 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 1 25 Final 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 i Architect _. --_ Contractor_ _ Address lei 1dd/ /�/1��.>�lC7Address_ Address ;�X/_3/ � c _L� City �� J ,�� City_ City-),-GGr/�na i— Phone� Phone _ Phone_ g O—a —.- 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) ve complied with all laws of the County of Riverside and the State of California governing said property. DATE�SIGNATURE OF OWNER AND/OR AGENT-7/�l/? Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing of a Construction Permit. G�'2as-3 (SPACE N0. USE OF STRUCTURE �_—_ ✓ !/ >LE JOB ADDRESS �_ SINGLE FAMILY ' DUPLEX DESCRIPTIO F PERT 77// —I_ OLu APA'RTMENTS AGRIC. N Q / COMMERCIAL INDUSTRIAL ❑ j 'n COMMUNITY . LTERATIONS ❑ C O Z NO. OF SUBMITTED PLANS USE OF PERMIT Q CASE NO. - - D G Z NO. OFfA3KING SPACES REQUIRED _ NO. OF BUILDINGS NOW EXISTING a ZON SETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK DINANCE #' OF FEET REQUIRED ON STREET DATE Z!-_�-- SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET -- F- CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET t- oe CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W 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 I SWIMMING POOLS PUBLIC QW SEWAGE DISPOSAL S FOOD ESTABLISHMENT WATER POLLUTION REMARKS rn FLOOD CONTROL— z AIR POLLUTION _ DIV OF HWY c a YOUR PROPERTY MAY BE SUBJECT TO — d c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 CANARY—FILE, PINK—APPLICANT