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384891 (MECH)BUILDING PERMIT PERMIT NO. DEPARTMENT OF BUILDING & SAFETY MDS384891 COUNTY OF RIVERSIDEFIELD CONSTRUCTION ESTIMATE Job Address Space Zip a NO. • ELECTRICAL FEES NO. PLUMBING FEES IST FL. 2ND. FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ Dist. Off. UNITS MH.Permit Fee E 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 $ (f' WATER PIPING NOTE: Not to be used as property tax valuation Group SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES Plan No. SWIM POOL, COMM WATER SOFTENER ` VERT. SYSTEM FAN EVAP. COOL HOOD Demol. Fee $ SIGN WASHER (AUTO)(DISH) APPLIANCE DRYER Mileage Fee $ Address City Zip GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED Owner/Agent Tel. Zip LAUNDRY TRAY ^ AIR HANDLING UNIT CFM Address IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. Contra for tr„�,,i. ?v J.j':( �, /a..,,tGL/�.� �' i TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR t HP 1910 POLE,TEMP/PERM LAVATORY HEATING SYSTEM FO ED 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 SQ. FT. GAR @ s/. c HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL. TOTAL FEES Lzig O� MOB. HM. FEE MICRO FEE CH. FEE a PL. CK. FEE CONST. FEE ELECT. FEE SJtI FEE FEE PLUMB. FEE PERMIT NO. 384891 Job Address Space Zip a Cwner Community`` 4 n Valuation [Dare f Dist. Off. I F.C.C. MH.Permit Fee E Micro Film Fee Cop $ The of Pe n fes. +•� `� r %v,l,e p Parce No. - 25 a -471- Use/Cose No. I Ck. By Mech. Fee _Lb I_ b PI. Ck. Fee $ . Set Backs I Lot Size Construction Fee Dbl E Legal Description y^ \r/� �// A -3 4' T:..-i�IG...� Z.. F S S R Electrical Fee Dbl $ SMI Fee E Zone Restrictions Group Type Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final at / pe Unit 3/ Sp. Insp. Fee $ Demol. Fee $ Const. Lender Branch r Supplimental Permit Numbers . Registr. Fee $ Mileage Fee $ Address City Zip Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees Is n Address City Zip M.O. 0 N.C.Ej Cash Chech, Received by Contra for tr„�,,i. ?v J.j':( �, /a..,,tGL/�.� �' i TeL� License# Trees required L -��- Sewage System Adgress Cijy� t Zip ' T LL P Sewer District �Gu•)•a�•8o�j�- >3 Form 284-208 (Re) @s _ _ T THIS ' PERMIT SHALL BECE VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS CESSATION OF WORK vUriTied by: 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 Figs & Frms 34 Plenums & Ducts 2A Slab Grade 35 Furnace Comport. 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 N 9 Garage Fire Wall 42 Commercial 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 hi. k R tia S Value 7A Walls (Botts) 12B Ceiling (Botts) 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 PSL P/ ELECTRICAL APPROVALS 26 Power Pole 27 Conduit 28 Service Entrance 29 Wiring 29A Grounding Wire 29B Bonding 30 Fixtures 31 Service 32 Final t STREET NAME - V'1111F" 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' Cr.NARY=FILE, `PINK — APPLICANT � I�CIQJ� Tfr Contractor Owner Architect' _. _ G Address___ Address —�---- City f%g72k City-- City---/���U _ Phone Phone _ Phone-3�(%� I (we) the undersigned,. hereby certify and acknowledge that I (we) have read the application and agree- that if Curb and Gutter, and LccU W Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Depzrtment 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 :)e 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 tc be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. 1SIGNATURE OF OWNER AND/OR AGENT_`�L�/a /� DATE 1-75— --- Approval by Signature from the Following Departments Listed Below Must Be Obtained Prior to the Issuing .of a Construction Permit. ISPACE NO. OF STRUCTURE USE JOB ADDRESS SINGLE FAMILI` � DUPLEX } ���� LEGAL DESCRIPTION OF PROPERTY T��—cp3 � '9-a _ APARTMENTS � O AGRIC. i,, � QomC11! 1 - �� 3 Q � � LL N Q - -��y� /, 7 COMMERCIAL INDUSTRIAL n j '^ COMMUNITY L ALTERATIONS ❑ O O Z jCASE NO. OF SUBMITTED PLANS USE OF PERMIT T�� f7G� r l NO. (o Z /`g NO. OF SPACES REQUIRED _ N0. OF BUILDINGS NOW EXISTING Q o /P�ARKING ZONSETBACKS: FRONT SIDE REAR J m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE OF FEET REQUIRED ON STREET DATE/—/— i — SIGNATURE OF LAND USE OFFICIAL DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET— z CURB AND GUTTER REQUIRED: YES ❑ NO ❑ STREET H - oe s 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 cc DATE SIGNATURE OF ROAD DEPT. OFFICIAI Z SWIMMING POOLS PUBLIC J W SEWAGE DISPOSAL _ FOOD ESTABLISHMENT WATER POLLUTION REMARKS to FLOOD CONTROL t- < AIR POLLUTION `u _ DIV OF HWY �•t c at — YOUR PROPERTY MAY BE SUBJECT TO a• UA FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILI—Y IN EVENT OF FLOOD. 284 199A 9/74' Cr.NARY=FILE, `PINK — APPLICANT